Organization
ALLERGY ASTHMA & IMMUNOLOGY SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN MARK KRESHOVER MD (PRESIDENT)
(248) 647-1200
Entity
Organization
Contact information
Practice address
31500 TELEGRAPH RD, SUITE 215, BINGHAM FARMS, MI 48025-4367
(248) 647-1200
(248) 647-1329
Mailing address
31500 TELEGRAPH RD, SUITE 215, BINGHAM FARMS, MI 48025-4367
(248) 647-1200
(248) 647-1329
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
SK046958
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2735649
—
MI
Enumeration date
01/30/2007
Last updated
03/10/2014
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