STUART E KIRSCHENBAUM NPI 1649329590

NPI Information

NPI: 1649329590
Provider Name: STUART E KIRSCHENBAUM
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
8319 GRAND RIVER AVE
DETROIT, MI
ZIP 48204
Phone: (313) 894-5100
Get Directions

STUART E KIRSCHENBAUM is a foot and ankle surgery podiatrist in Detroit, MI. STUART E KIRSCHENBAUM NPI is 1649329590. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8319 GRAND RIVER AVE
DETROIT, MI
ZIP 48204-231
Phone: (313) 894-5100

The provider's authorized official is Stuart Edward Kirschenbaum .
The authorized official title is Dpm and has the following contact phone number (313) 894-5100.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	SK000622	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2979564	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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