Individual
DR. ANNA V KULCZYCKI-MITTAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1701 SOUTH BLVD E, STE 290, ROCHESTER HILLS, MI 48307-6122
(248) 997-7900
(248) 997-7918
Mailing address
1701 SOUTH BLVD E, STE 290, ROCHESTER HILLS, MI 48307-6122
(248) 997-7900
(248) 997-7918
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301067684
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104228109
—
MI
01
—
110F324370
BCBSM
MI
01
—
DR500669
MCARE
MI
Enumeration date
10/27/2005
Last updated
05/10/2012
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