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Individual

DR. JEFFREY C KALT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
30301 WOODWARD AVE STE 101, ROYAL OAK, MI 48073-0981
(248) 398-2525
(248) 398-9286
Mailing address
30301 WOODWARD AVE STE 101, ROYAL OAK, MI 48073-0981
(248) 398-2525
(248) 398-9286

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301051524
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0004237942
AETNA
01
0308390001
ADMINASTAR
01
101836
GREAT LAKES
01
180023697
RAILROAD MEDICARE
01
180F375320
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
01
180F375320
BLUE CARE NETWORK
05
3117704
MI
01
4237942
DETROIT MEDICAL CENTER
01
C3069
MCARE
01
E89376
HAP
Enumeration date
12/30/2005
Last updated
04/21/2025
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