Individual
DR. KISHA D MURRAY-DREAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
13730 W 9 MILE RD, OAK PARK, MI 48237-2774
(248) 629-9726
Mailing address
13730 W 9 MILE RD, OAK PARK, MI 48237-2774
(302) 563-4500
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001881
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H249960
BLUE CROSS
MI
05
—
4123036-13
—
MI
01
—
5230860001
DME ADMINISTAR
MI
01
—
540H227720
BLUE CROSS SUPPLIER
MI
01
—
P00155165
RAILROAD MEDICARE
MI
Enumeration date
09/26/2006
Last updated
08/30/2012
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