Organization
STUART E KIRSCHENBAUM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART EDWARD KIRSCHENBAUM DPM (DPM)
(313) 894-5100
Entity
Organization
Contact information
Practice address
8319 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 894-5100
Mailing address
8319 GRAND RIVER AVE, DETROIT, MI 48204-2231
(313) 894-5100
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SK000622
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2979564
—
MI
Enumeration date
01/09/2007
Last updated
08/22/2020
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