Kreis, Michael D

Kreis, Michael D is an individual health care provider with primary practice located at 1414 W Fair Ave Suite 36, Marquette MI 49855-2675. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Kreis, Michael D can be contacted via phone (906) 225-3864.

Contact Information

Primary practice address
1414 W Fair Ave Suite 36 Marquette MI 49855-2675
Phone: (906) 225-3864
Fax: (906) 225-3851
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002150 Michigan

Profile Details

NPI number 1679564710
LBN Legal business name Kreis, Michael D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Jan 15th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679564710 NPPES
Michigan Other 970000869 RAILROAD MEDICARE

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