Organization
WARREN ALLERGY & ASTHMA CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E KRASNICK M.D. (OWNER)
(586) 268-9222
Entity
Organization
Contact information
Practice address
37130 HOOVER RD, SUITE A, WARREN, MI 48093
(586) 268-9222
(586) 268-9226
Mailing address
31730 HOOVER RD, SUITEA, WARREN, MI 48093-1700
(586) 268-9222
(586) 268-9226
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301067218
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030E021890
BCN GROUP
MI
05
—
1588743645
—
MI
01
—
DQ3348
RAILROAD MEDICARE
MI
01
—
G39644
HAP
MI
Enumeration date
11/02/2006
Last updated
08/02/2010
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