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Organization

BENJAMIN KRPICHAK M.D. P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BENJAMIN KRPICHAK M.D. (MEDICAL DIRECTOR)
(248) 302-7682
Entity
Organization

Contact information

Practice address
39595 W 10 MILE RD, NOVI, MI 48375-2948
(248) 476-7462
Mailing address
PO BOX 287, NOVI, MI 48376-0287
(248) 302-7682

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
BK078415
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4781266
MI
Enumeration date
02/25/2008
Last updated
02/25/2008
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