Individual
DR. JOSEPH W KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15520 19 MILE RD, STE 480, CLINTON TWP, MI 48038-6332
(586) 228-1010
(586) 228-8570
Mailing address
15520 19 MILE RD, STE 480, CLINTON TWP, MI 48038-6332
(586) 228-1010
(586) 228-8570
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
5101012133
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0E07884
BLUE CROSS/SHIELD OF MICH
MI
01
—
1155004328
BLUE CROSS/SHIELD IND PIN
MI
05
—
4181933
—
MI
05
—
4262933
—
MI
Enumeration date
06/15/2005
Last updated
12/10/2012
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