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NPI Code Detail

MEDICARE: AIDAN CROSS KASPARI DO

MEDICARE:   AIDAN CROSS KASPARI  DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208600000XSurgery Physician5151018143MI

General Provider Information

NPI Number : 1346171824
Entity Type Code : Individual
Provider Name (Legal Business Name) : AIDAN CROSS KASPARI DO
Provider Business Mailing Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3601 W 13 MILE RD
Second Line :
City : ROYAL OAK
State : MI
Zip : 48073-6712
Country : US
Telephone Number : 248-898-2673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ AIDAN CROSS KASPARI DO” Practice Location

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