DR. STEVEN MARK KRESHOVER MD
Allergy and Immunology
Bingham Farms, Michigan
Provider NPI: 1134178551
Provider Information:DR. STEVEN MARK KRESHOVER MD
Practice Location:
31500 TELEGRAPH RD SUITE 215 BINGHAM FARMS, MI 48025 US
Tel: 248-647-1200 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | MI | 4301046958 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
2735649 | MI | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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