Phillip Dorian Kroll in Ann Arbor - Addiction Psychiatry
Phillip Dorian Kroll - NPI 1699874776
Phillip Dorian Kroll is a Addiction Psychiatry in Ann Arbor, Michigan. Phillip Dorian Kroll practices all healthcare services and medical treatments related to Addiction Psychiatry. The NPI Number for Phillip Dorian Kroll is 1699874776. The last update date is 2014-02-04.
Phillip Dorian Kroll's current location address is 502 Rock Creek Dr, Ann Arbor, Michigan. You can contact this provider via phone number 7346620409. The mailing address for Phillip Dorian Kroll is 502 Rock Creek Dr, Ann Arbor, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Dorian Kroll |
|---|---|
| Address | 502 Rock Creek Dr, Ann Arbor, Michigan |
| Phone Number | 7346620409 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1699874776 |
|---|---|
| Provider Enumeration Date | 2006-09-22 |
| Last Updated Date | 2014-02-04 |
Provider Mailing Address Detail
| Address | 502 Rock Creek Dr |
|---|---|
| City | Ann Arbor |
| State | Michigan (MI) |
| Post Code | 481041864 |
| Phone Number | 7346620409 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction Psychiatry |
|---|---|
| Taxonomy | 2084P0802X |
| Licence No | 4301028333 |
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Definition: Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric d |
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What is the unique 10-digit identifier code issued to Phillip Dorian Kroll by the Centers for Medicare & Medicaid Services?
The Phillip Dorian Kroll has been assigned the NPI (National Provider Identifier) 1699874776 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Phillip Dorian Kroll?
The Phillip Dorian Kroll is situated at 502 Rock Creek Dr, in the city of Ann Arbor, state of MI, with the zip code 481041864.
What is the area of specialization for Phillip Dorian Kroll, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Dorian Kroll is Addiction Psychiatry, and the corresponding taxonomy code that categorizes this area of expertise is 2084P0802X.
On what date did Phillip Dorian Kroll receive its 1699874776 assignment from the Centers for Medicare & Medicaid Services?
The Phillip Dorian Kroll was assigned its 1699874776 on 2006-09-22, 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 related to Phillip Dorian Kroll most recently updated or revised?
The information pertaining to Phillip Dorian Kroll, including its address, specialty, and other relevant details, was last updated or revised on 2014-02-04.