MEDICARE: DR. GREGORY KRAMER

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	111N00000X	Chiropractor	2301005503	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	950Q25255	OTHER	MI	BCBS

General Provider Information

NPI Number	:	1295846699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY KRAMER

Provider Business Mailing Address
First Line	:	34441 8 MILE RD
Second Line	:	STE 116
City	:	LIVONIA
State	:	MI
Zip	:	48152-4013
Country	:	US
Telephone Number	:	248-615-1533
Fax Number	:	248-615-9068

Provider Business Practice Location Address
First Line	:	34441 8 MILE RD
Second Line	:	STE 116
City	:	LIVONIA
State	:	MI
Zip	:	48152-4013
Country	:	US
Telephone Number	:	248-615-1533
Fax Number	:	248-615-9068

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	04/05/2018

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Directions to “ DR. GREGORY KRAMER ” Practice Location

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