Individual
MICHELLE R KROUPA-KULIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301068824
MI
208000000X
Pediatrics Physician
Primary
4301068824
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080A760010
BCBS
MI
01
—
23-8650
RHC CERTIFICATION NUMBER (CMS)
MI
05
—
774301871
—
MI
Enumeration date
05/05/2006
Last updated
01/23/2013
Update your record
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