Individual
DR. KENT JEROME KRACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
43900 GARFIELD ROAD, SUITE 100, CLINTON TOWNSHIP, MI 48038
(586) 286-0112
(586) 286-2702
Mailing address
43900 GARFIELD ROAD, SUITE 100, CLINTON TOWNSHIP, MI 48038
(586) 286-0112
(586) 286-2702
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
4301067878
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
H57389
HAP
MI
01
—
KK067878
BCBCM OTHER
MI
Enumeration date
12/06/2005
Last updated
07/28/2021
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