Individual
GRAHAM KRASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3535 W 13 MILE RD, STE. 707, ROYAL OAK, MI 48073-6710
(248) 551-0087
Mailing address
3601 W 13 MILE RD, 400-FSC/PCS, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
2080P0208X
Pediatric Infectious Diseases Physician
Primary
4301075091
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
440F361390
BCBSM
MI
05
—
4735844
—
MI
Enumeration date
03/23/2006
Last updated
10/22/2020
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