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Organization
PHILIP H KRESCH DPM PC
Active
Organization
PHILIP H KRESCH DPM PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP H KRESCH DPM (PRESIDENT)
(313) 563-0660
Entity
Organization
Contact information
Practice address
26031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-4716
(313) 563-0660
(313) 563-0002
Mailing address
26031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-4716
(313) 563-0660
(313) 563-0002
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PK001046
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0Q27629
BLUECROSS BLUE SHIELD
MI
05
—
140584-13
—
MI
Enumeration date
04/13/2007
Last updated
11/10/2008
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