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Individual

DR. PHILIP H KRESCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
26031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-4716
(313) 563-0660
(313) 563-0002
Mailing address
26031 W WARREN ST, DEARBORN HEIGHTS, MI 48127-4716
(313) 563-0660
(313) 563-0002

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PK001046
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
140585413
MI
01
480001899
RR MEDICARE
MI
Enumeration date
08/29/2005
Last updated
11/10/2008
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