Individual
ARI KRISWARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5333 MCAULEY DRIVE, SUITE 2009, YPSILANTI, MI 48197-1014
(734) 712-0050
(734) 712-0055
Mailing address
5333 MCAULEY DRIVE, SUITE 2009, YPSILANTI, MI 48197-1014
(734) 712-0050
(734) 712-0055
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
4301094157
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0951974
BCBS IND
MI
05
—
1164657870
—
MI
Enumeration date
05/26/2009
Last updated
07/31/2020
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