Healthcare Provider Details

I. General information

NPI: 1700827490
Provider Name (Legal Business Name): MICHAEL E KRAMER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2006
Last Update Date: 06/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30671 STEPHENSON HWY
MADISON HEIGHTS MI
48071-1635
US

IV. Provider business mailing address

9904 MAYFIELD ST
LIVONIA MI
48150-2736
US

V. Phone/Fax

Practice location:
  • Phone: 248-733-2200
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number4301083031
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number4301083031
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: