Healthcare Provider Details

I. General information

NPI: 1679648489
Provider Name (Legal Business Name): BATTLE CREEK OBSTETRICS & GYNECOLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3238 CAPITAL AVE SW
BATTLE CREEK MI
49015-4302
US

IV. Provider business mailing address

PO BOX 1608
GRAND RAPIDS MI
49501-1608
US

V. Phone/Fax

Practice location:
  • Phone: 269-979-6432
  • Fax: 269-979-6435
Mailing address:
  • Phone: 800-968-6866
  • Fax: 616-532-7230

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number055937
License Number StateMI

VIII. Authorized Official

Name: DR. BRIAN C KRAUSS
Title or Position: PRESIDENT
Credential: M.D.
Phone: 269-979-6432