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General NPI Number Information
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NPI Number | 1609821024
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Entity Type | Organization
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Legal Business Name | MICHAEL W KRUPIC DPM PLLC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2301 S MILFORD RD
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City | HIGHLAND
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State | MI
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Zip | 48357-4985
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Country | US
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Telephone | 248-685-3668
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Fax |
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Provider Business Mailing Address
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Address Line | 3061 CHRISTY WAY
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City | SAGINAW
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State | MI
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Zip | 48603-2267
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Country | US
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Telephone | 989-791-2455
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL W KRUPIC
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Credential | DPM
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Telephone | 248-685-3668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 5315011987
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License Number State | MI
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