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Individual

DR. RALPH KONTRY

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 WILLIAM CARLS DR, COMMERCE TOWNSHIP, MI 48382-2201
(248) 937-3300
Mailing address
37748 AMBER DR, FARMINGTON HILLS, MI 48331-1168

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
5101008004
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
RK008004
BC/BS OF MI
MI
Enumeration date
03/24/2006
Last updated
07/08/2007
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