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Individual

DR. KELIN PROKURAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5146
Mailing address
4201 SAINT ANTOINE ST, DETROIT, MI 48201-2153
(313) 745-5146

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5101025571
MI
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/14/2015
Last updated
04/05/2022
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