Organization
DARRYL KOMPUS DPM PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARRYL FRANCIS KOMPUS DPM (PRESIDENT PODIATRIST)
(248) 540-2549
Entity
Organization
Contact information
Practice address
15101 FORD RD, DEARBORN, MI 48126-4611
(313) 582-2796
Mailing address
18508 DEVONSHIRE, BEVERLY HILLS, MI 48025
(248) 672-4655
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4125602
—
MI
01
—
5820969
BLUE CROSS BLUE SHIELD
MI
Enumeration date
02/05/2007
Last updated
07/14/2011
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