Individual
DR. WALTER STANLEY CUKROWSKI II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
32000 WOODWARD AVE, SUITE A, ROYAL OAK, MI 48073-0998
(248) 549-6000
(248) 549-4923
Mailing address
32000 WOODWARD AVE, SUITE A, ROYAL OAK, MI 48073-0998
(248) 549-6000
(248) 549-4923
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
WC028570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1806338551
BCBS
MI
01
—
2355976004
CIGNA
MI
01
—
4285676
AETNA
MI
05
—
4416216
—
MI
01
—
B0900
MCARE
MI
01
—
P41060
BLUE CARE NETWORK
MI
Enumeration date
08/01/2006
Last updated
07/08/2007
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