Individual
DR. STUART EDWARD KIRSCHENBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
3031 W GRAND BLVD STE 423, DETROIT, MI 48202-3141
(313) 894-5100
(313) 894-0028
Mailing address
3031 W GRAND BLVD STE 423, DETROIT, MI 48202-3141
(313) 894-5100
(313) 894-0028
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
5901000622
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2979564
—
MI
01
—
5825334
BCBSM
MI
Enumeration date
10/29/2006
Last updated
08/07/2014
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