Kulczycki-Mittag, Anna V
Kulczycki-Mittag, Anna V is an individual health care provider with primary practice located at 1701 South Blvd E Ste 290, Rochester Hills MI 48307-6122. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kulczycki-Mittag, Anna V can be contacted via phone (248) 997-7900.Contact Information
Primary practice address
1701 South Blvd E Ste 290
Rochester Hills MI 48307-6122
Phone: (248) 997-7900
Fax: (248) 997-7918
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301067684 | Michigan |
Profile Details
| NPI number | 1801886049 |
|---|---|
| LBN Legal business name | Kulczycki-Mittag, Anna V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | May 10th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801886049 | NPPES |
| Michigan | Other | 110F324370 | BCBSM |
| Michigan | Other | DR500669 | BCBSM |
| Michigan | MEDICAID | 104228109 | BCBSM |
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