| 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 |
|---|---|
| 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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