Healthcare Provider Details

I. General information

NPI: 1427111483
Provider Name (Legal Business Name): MICHAEL KRYGIER D.C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 05/05/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24360 NOVI RD SUITE B-2
NOVI MI
48375-2404
US

IV. Provider business mailing address

24360 NOVI RD SUITE B-2
NOVI MI
48375-2404
US

V. Phone/Fax

Practice location:
  • Phone: 248-735-2440
  • Fax: 248-735-2446
Mailing address:
  • Phone: 248-735-2440
  • Fax: 248-735-2446

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License Number2301007955
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: