Individual
PAUL H KREBSBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS PHD
Contact information
Practice address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-5280
(734) 763-3453
Mailing address
1011 N UNIVERSITY AVE, ANN ARBOR, MI 48109-1078
(734) 763-5280
(734) 763-3453
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
2901017077
MI
1223P0700X
Prosthodontics
Primary
2901017077
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
195816287
BCBS OF MI MED SURGICAL
MI
05
—
4125504
—
MI
05
—
4125522
—
MI
01
—
D170770
BCBS OF MI DENTAL
MI
Enumeration date
03/16/2007
Last updated
06/17/2008
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