Individual
DR. GARY KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-3330
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01053409A
IN
207P00000X
Emergency Medicine Physician
Primary
4301044974
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1585126
—
MI
Enumeration date
08/07/2007
Last updated
02/13/2008
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