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Organization

KISHA MURRAY DREAD DPM PC

Active
Other names
Family Footcare of Lincoln Park
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KISHA MURRAY-DREAD DPM (OWNER)
(313) 942-6500
Entity
Organization

Contact information

Practice address
22250 PROVIDENCE DR, SUITE 302, SOUTHFIELD, MI 48075-4825
(248) 557-6500
(248) 557-2781
Mailing address
PO BOX 20848, FERNDALE, MI 48220-0848
(248) 557-6500
(248) 557-2781

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901001881
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
134123036
MI
01
383484379
TAX ID#
MI
Enumeration date
03/09/2007
Last updated
11/24/2008
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