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Individual

DR. JAMAL KRIEM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3535 W 13 MILE RD STE 707, ROYAL OAK, MI 48073-6770
(248) 551-0487
(248) 551-3696
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301084165
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301084165
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1013120732
IA
05
1013120732
MI
Enumeration date
05/08/2007
Last updated
05/30/2023
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