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Individual

DR. HOWARD J KORMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
31157 WOODWARD AVE, ROYAL OAK, MI 48073
(248) 336-0123
(248) 336-3190
Mailing address
31157 WOODWARD AVE, ROYAL OAK, MI 48073-0926
(248) 336-0123
(248) 336-3190

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301054798
MI
208800000X
Urology Physician
4301054798
MI
208D00000X
General Practice Physician
Primary
4301054798
MI
208D00000X
General Practice Physician
63887
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
131397
PREFERRED CARE CHOICES
MI
05
3257788
MI
01
340013023
MEDICAID RAILROAD
MI
01
3406313881
BCBSM INDIVIDUAL NUMBER
MI
05
4973514
MI
01
5567396
AETNA
MI
01
C5567
MCARE
MI
01
G29155
HAP
MI
01
HK054798
BCBSM LICENSE NUMBER
MI
Enumeration date
11/07/2005
Last updated
06/25/2018
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