Individual
DR. JAMES A KROEZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Mailing address
9625 RED ARROW HWY, BRIDGMAN, MI 49106-9559
(269) 465-6050
(269) 465-3134
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101012762
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-31294
PHP
MI
01
—
085110106
BLUE CROSS
MI
01
—
1538397120
GROUP NPI
MI
01
—
270381199
GROUP TAX ID
MI
05
—
4333777
—
MI
01
—
5460964
CIGNA
MI
01
—
80176004
RAILROAD MEDICARE
MI
Enumeration date
06/30/2006
Last updated
03/07/2023
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