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Contact Information

MARK R KURZAWA, MD
36367 HARPER AVE
CILNTON TOWNSHIP, MI48035-2958
 Phone: 586-791-6868
 Fax: 586-791-5071
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK R KURZAWA · (Male)

NPI # 1265482095
Status Active
Credentials MD
Entity Individual
Enumeration date 05/11/2006
Last updated 01/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301048125
  • MI Medicaid 4813978
  • MI Medicaid 4991915
Hospital affiliation(s)
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
  • ST JOHN HOSPITAL AND MEDICAL CENTER - (Acute Care)
    22101 MOROSS RD
    DETROIT, MI 48236
  • ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER - (Acute Care)
    11800 EAST TWELVE MILE ROAD
    WARREN, MI 48093
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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