Stephen Kronberg Md Pc | |
20331 Farmington Rd Livonia MI 48152-1411 | |
(248) 478-1100 | |
(248) 478-7054 |
Full Name | Stephen Kronberg Md Pc |
---|---|
Speciality | Internal Medicine |
Location | 20331 Farmington Rd, Livonia, Michigan |
Authorized Official Name and Position | Stephen Kronberg (PRESIDENT) |
Authorized Official Contact | 2484781100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stephen Kronberg Md Pc 14237 Fenton Redford MI 48239-2878 Ph: (313) 310-5337 | Stephen Kronberg Md Pc 20331 Farmington Rd Livonia MI 48152-1411 Ph: (248) 478-1100 |
NPI Number | 1356863005 |
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Provider Enumeration Date | 07/14/2017 |
Last Update Date | 03/12/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356863005 | NPI | - | NPPES |
4535585 | Medicaid | MI | |
4301058204 | Other | MI | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | SK058204 (Michigan) | Primary |
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