Individual
DR. OLAF C KRONEMAN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1695 W 12 MILE RD, SUITE 250, BERKLEY, MI 48072-2182
(248) 414-3874
(248) 646-7854
Mailing address
1695 W 12 MILE RD, SUITE 250, BERKLEY, MI 48072-2182
(248) 414-3874
(248) 646-7854
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301045888
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0678566
—
MI
Enumeration date
11/02/2005
Last updated
07/09/2013
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