MEDICARE: ANUP KURIEN

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	225100000X	Physical Therapist	5501013659	MI
2	225100000X	Physical Therapist	5501013659

General Provider Information

NPI Number	:	1346743168
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANUP KURIEN

Provider Business Mailing Address
First Line	:	5480 HURON HILLS DR
Second Line	:
City	:	COMMERCE TOWNSHIP
State	:	MI
Zip	:	48382-4818
Country	:	US
Telephone Number	:	414-429-9597
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 COOLIDGE RD
Second Line	:
City	:	EAST LANSING
State	:	MI
Zip	:	48823-6376
Country	:	US
Telephone Number	:	517-203-4042
Fax Number	:

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

Provider Enumeration Date	:	03/18/2018
Last Update Date	:	03/18/2018

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Directions to “ ANUP KURIEN ” Practice Location

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