Individual
THERESA KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44405 WOODWARD AVE, PONTIAC, MI 48341-5023
(248) 858-6110
(248) 858-6015
Mailing address
901 PINE THISTLE LN, BLOOMFIELD HILLS, MI 48302-2016
(586) 770-3498
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
08/12/2022
Last updated
11/24/2023
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