Individual
DR. JASON BERNARD JAMES KUREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
17515 WEST 9 MILE RD, SUITE 340, SOUTHFIELD, MI 48075
(248) 569-4000
(248) 569-5771
Mailing address
17515 W 9 MILE RD, SUITE 340, SOUTHFIELD, MI 48075-4403
(248) 569-4000
(248) 569-5771
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001753
MI
213EP1101X
Primary Podiatric Medicine Podiatrist
5901001753
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3258640
—
MI
01
—
480023791
RAILROAD MEDICARE
MI
01
—
480F37288
BLUE CROSS BLUE SHIELD
MI
Enumeration date
06/05/2006
Last updated
10/26/2007
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