Philip H Kresch Dpm Pc | |
26031 W Warren St, Dearborn Heights, MI 48127-4716 | |
(313) 563-0660 | |
(313) 563-0002 |
Full Name | Philip H Kresch Dpm Pc |
---|---|
Type | Facility |
Speciality | Podiatrist |
Location | 26031 W Warren St, Dearborn Heights, Michigan |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1720202344 | NPI | - | NPPES |
0Q27629 | Other | MI | BLUECROSS BLUE SHIELD |
140584-13 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | PK001046 (Michigan) | Primary |
Provider Name | Philip H Kresch |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1881687549 PECOS PAC ID: 4385781400 Enrollment ID: I20091022000280 |
Mailing Address | Practice Location Address |
---|---|
Philip H Kresch Dpm Pc 26031 W Warren St, Dearborn Heights, MI 48127-4716 Ph: (313) 563-0660 | Philip H Kresch Dpm Pc 26031 W Warren St, Dearborn Heights, MI 48127-4716 Ph: (313) 563-0660 |
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