Ellen Marie Kruggel in Kentwood - Pediatrics
Ellen Marie Kruggel - NPI 1114917226
Ellen Marie Kruggel is a Pediatrics in Kentwood, Michigan. Ellen Marie Kruggel practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Ellen Marie Kruggel is 1114917226. The last update date is 2007-07-08.
Ellen Marie Kruggel's current location address is 4600 Breton Rd Se, Kentwood, Michigan. You can contact this provider via phone number 6166568600 and fax number 6166568601. The mailing address for Ellen Marie Kruggel is 4600 Breton Rd Se, Kentwood, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ellen Marie Kruggel |
|---|---|
| Address | 4600 Breton Rd Se, Kentwood, Michigan |
| Phone Number | 6166568600 |
| Fax Number | 6166568601 |
| Sole Proprietor | X |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1114917226 |
|---|---|
| Provider Enumeration Date | 2005-10-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4600 Breton Rd Se |
|---|---|
| City | Kentwood |
| State | Michigan (MI) |
| Post Code | 495085262 |
| Phone Number | 6166568600 |
| Fax Number | 6166568601 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | 4301067448 |
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Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4695097 | MI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Ellen Marie Kruggel by the Centers for Medicare & Medicaid Services?
The Ellen Marie Kruggel has been issued the NPI (National Provider Identifier) 1114917226. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Ellen Marie Kruggel is located?
The Ellen Marie Kruggel is situated at the following address: 4600 Breton Rd Se, Kentwood, MI, 495085262.
On what date did Ellen Marie Kruggel receive its 1114917226 assignment from the Centers for Medicare & Medicaid Services?
The Ellen Marie Kruggel was assigned its 1114917226 on 2005-10-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1114917226 to Ellen Marie Kruggel?
The Centers for Medicare & Medicaid Services assigned the 1114917226 to Ellen Marie Kruggel on 2005-10-28.
As of what date was the information regarding Ellen Marie Kruggel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ellen Marie Kruggel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.