Individual
CHRIS KAZMIERCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 W 13 MILE RD, BEAUMONT HOSPITAL - RO, ROYAL OAK, MI 48073-6712
(248) 585-8271
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1860
(248) 585-8266
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
4301059588
MI
2085R0204X
Vascular & Interventional Radiology Physician
4301059588
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
300F362420
BCBSM
MI
05
—
4241423
—
MI
Enumeration date
03/24/2006
Last updated
10/21/2020
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