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NPI Code Detail

MEDICARE: JESS KRAFT DPM

MEDICARE:   JESS  KRAFT  DPM
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
1213E00000XPodiatrist00661MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1485635436OTHERBLUE CROSS BLUE SHIELD

General Provider Information

NPI Number : 1720006505
Entity Type Code : Individual
Provider Name (Legal Business Name) : JESS KRAFT DPM
Provider Business Mailing Address
First Line : 35948 W 13 MILE RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-2510
Country : US
Telephone Number : 248-592-1949
Fax Number : 248-592-2271
Provider Business Practice Location Address
First Line : 35948 W 13 MILE RD
Second Line :
City : FARMINGTON HILLS
State : MI
Zip : 48331-2510
Country : US
Telephone Number : 248-592-1949
Fax Number : 248-592-2271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2006
Last Update Date : 10/31/2016

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Directions to “ JESS KRAFT DPM” Practice Location

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