Individual
NEAL M. KRASNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25511 LITTLE MACK AVE, SUITE A, ST CLAIR SHORES, MI 48081-3372
(586) 774-2020
(586) 774-3169
Mailing address
25511 LITTLE MACK AVE, SUITE A, ST CLAIR SHORES, MI 48081-3372
(586) 774-2020
(586) 774-3169
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
4301407140
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1805012691
BCBS OF MICHIGAN
—
Enumeration date
09/21/2005
Last updated
01/31/2008
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