Individual
ROBERT P KRUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
3520 FOREST RD FL 2, LANSING, MI 48910-3720
(517) 975-9500
(517) 975-9520
Mailing address
24 FRANK LLOYD WRIGHT DR LBBY J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704297058
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K610745680427
DRIVER LICENSE
MI
Enumeration date
12/12/2019
Last updated
03/06/2025
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