Individual
WILLANE S KRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4201 SAINT ANTOINE ST, SUITE 5A, DETROIT, MI 48201-2153
(313) 745-4525
(313) 993-0085
Mailing address
1560 E MAPLE RD, SUITE 400-CREDENTIALING, TROY, MI 48083-1189
(313) 745-4525
(313) 993-0085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301042860
MI
207RP1001X
Pulmonary Disease Physician
Primary
4301042860
MI
Other
Enumeration date
05/31/2006
Last updated
06/01/2016
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