Jeremy Kallenbach in Southfield - Family Medicine

Jeremy Kallenbach - NPI 1891775730

Jeremy Kallenbach is a Family Medicine in Southfield, Michigan. Jeremy Kallenbach practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jeremy Kallenbach is 1891775730. The last update date is 2007-09-05.

Jeremy Kallenbach's current location address is 24681 Northwestern Hwy, Southfield, Michigan. You can contact this provider via phone number 2483522000 and fax number 2483241477. The mailing address for Jeremy Kallenbach is 24681 Northwestern Hwy, Southfield, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeremy Kallenbach
Address 24681 Northwestern Hwy, Southfield, Michigan
Phone Number 2483522000
Fax Number 2483241477
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1891775730
Provider Enumeration Date 2006-01-18
Last Updated Date 2007-09-05

Provider Mailing Address Detail

Address 24681 Northwestern Hwy
City Southfield
State Michigan (MI)
Post Code 480752305
Phone Number 2483522000
Fax Number 2483241477

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301063038
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4403817 MI --

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FAQs about Jeremy Kallenbach

What is the unique 10-digit identification code issued to Jeremy Kallenbach by the Centers for Medicare & Medicaid Services?

The Jeremy Kallenbach has been assigned the NPI (National Provider Identifier) 1891775730 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Jeremy Kallenbach's facilities are situated?

The facilities of Jeremy Kallenbach are physically located at the following address: 24681 Northwestern Hwy, Southfield, MI, 480752305.

What is Jeremy Kallenbach's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Jeremy Kallenbach is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.

On what date did Jeremy Kallenbach receive its 1891775730 assignment from the Centers for Medicare & Medicaid Services?

The Jeremy Kallenbach was assigned its 1891775730 on 2006-01-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jeremy Kallenbach last refreshed?

The information related to the Jeremy Kallenbach, including its address, specialty, and other relevant details, was last updated on 2007-09-05.

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