Individual
KERRY M DAY-KRUSNIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7597 MACKINAW TRL, CADILLAC, MI 49601-8422
(231) 779-8005
(231) 775-8068
Mailing address
PO BOX 384, CADILLAC, MI 49601-0384
(231) 775-6076
(231) 775-0027
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301071034
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0808300742
BLUE CROSS BLUE SHIELD
MI
05
—
4717247
—
MI
Enumeration date
11/04/2006
Last updated
09/26/2007
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