Individual
KURT A KRALOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5301 E. HURON RIVER DR., YPSILANTI, MI 48197
(734) 712-7017
(734) 712-2844
Mailing address
24 FRANK LLOYD WRIGHT DR, PO BOX 0446 LOBBY J, ANN ARBOR, MI 48106
(734) 747-6766
(810) 760-0440
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
4301056548
MI
2086S0127X
Trauma Surgery Physician
4301056548
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327165110
—
MI
01
—
700H262310
BLUE CROSS-BLUE CROSS
—
01
—
KK056548
COMMERCIAL-COMMERCIAL NUMBER
—
Enumeration date
12/18/2006
Last updated
07/21/2022
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