Jeri Kedzierski is a Specialist in Plymouth, Michigan. Jeri Kedzierski practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jeri Kedzierski is 1093769432. The last update date is 2007-07-08.
Jeri Kedzierski's current location address is 990 W Ann Arbor Trl, Plymouth, Michigan. You can contact this provider via phone number 7344141099 and fax number 7344141065. The mailing address for Jeri Kedzierski is 990 W Ann Arbor Trl, Plymouth, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeri Kedzierski |
|---|---|
| Address | 990 W Ann Arbor Trl, Plymouth, Michigan |
| Phone Number | 7344141099 |
| Fax Number | 7344141065 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1093769432 |
|---|---|
| Provider Enumeration Date | 2006-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 990 W Ann Arbor Trl |
|---|---|
| City | Plymouth |
| State | Michigan (MI) |
| Post Code | 481706204 |
| Phone Number | 7344141099 |
| Fax Number | 7344141065 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 4301066828 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4301066828 | MI | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Jeri Kedzierski by the Centers for Medicare & Medicaid Services?
The Jeri Kedzierski has been issued the NPI (National Provider Identifier) 1093769432. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jeri Kedzierski's facilities are geographically located?
The facilities of Jeri Kedzierski are physically situated at the following location: 990 W Ann Arbor Trl, Plymouth, MI, 481706204.
What is Jeri Kedzierski's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jeri Kedzierski is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
When did the Jeri Kedzierski receive its 1093769432?
The Jeri Kedzierski was issued its 1093769432 on 2006-05-20, which is the date when the organization was assigned this unique identifier.
When was the information regarding Jeri Kedzierski, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jeri Kedzierski, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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