MEDICARE: DR. HADASSAH ROSE KREIMAN MD

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
1	208100000X	Physical Medicine & Rehabilitation Physician	4301078892	MI

General Provider Information

NPI Number	:	1124026620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HADASSAH ROSE KREIMAN MD

Provider Business Mailing Address
First Line	:	10814 TALBOT AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1173
Country	:	US
Telephone Number	:	248-797-0860
Fax Number	:

Provider Business Practice Location Address
First Line	:	10814 TALBOT AVE
Second Line	:
City	:	HUNTINGTON WOODS
State	:	MI
Zip	:	48070-1173
Country	:	US
Telephone Number	:	248-797-0860
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/08/2005
Last Update Date	:	05/16/2014

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