Doctor Name: | DR. MIKHAIL S KOREN |
NPI Number: | 1467421412 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | MD427750 |
Business Practice Address: | 535 S Burdick St Suite 256 Kalamazoo, MI - 490075294 |
Business Phone Number: | 2693418585 |
Business Fax Number: | 2693417518 |
Mailing Address: | 535 S Burdick St, Suite 256 KALAMAZOO |
State: | MI |
Postal Code: | 490075294 |
Phone Number: | 2693418585 |
Fax Number: | 2693417518 |
NPI Enumeration Date: | 03/14/2006 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD427750 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy 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. |