| Profl Corpin | |
|
38900 Van Dyke #301 Sterling Hts MI 48312-1180 | |
| (586) 939-1144 | |
| Not Available |
| Full Name | Profl Corpin |
|---|---|
| Speciality | Dentist |
| Location | 38900 Van Dyke, Sterling Hts, Michigan |
| Authorized Official Name and Position | Stuart J Kessler (PRES) |
| Authorized Official Contact | 5869391144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Profl Corpin 38900 Van Dyke #301 Sterling Hts MI 48312-1180 Ph: (586) 939-1144 | Profl Corpin 38900 Van Dyke #301 Sterling Hts MI 48312-1180 Ph: (586) 939-1144 |
| NPI Number | 1639247331 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639247331 | NPI | - | NPPES |
| D80154 | Other | MI | BCBS MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9704 (Michigan) | Primary |
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