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Organization
KISHA MURRAY DREAD DPM PC
Active
Organization
KISHA MURRAY DREAD DPM PC
Active
Other names
Family Footcare of Lincoln Park
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KISHA MURRAY-DREAD DPM (OWNER)
(313) 942-6500
Entity
Organization
Contact information
Practice address
22250 PROVIDENCE DR, SUITE 302, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Mailing address
PO BOX 20848, FERNDALE, MI 48220-0848
(248) 557-6500
(248) 557-2781
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134123036
—
MI
01
—
383484379
TAX ID#
MI
Enumeration date
03/09/2007
Last updated
11/24/2008
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