Individual
PAMELA SUE KRAUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 STODDARD RD, RICHMOND, MI 48062-2505
(103) 928-2167
Mailing address
22609 RAYMOND ST, SAINT CLAIR SHORES, MI 48082-2744
(810) 523-0354
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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