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Contact Information

JASON B KUREK, DPM
17515 WEST 9 MILE RD
SUITE 340
SOUTHFIELD, MI48075
 Phone: 248-569-4000
 Fax: 248-569-5771
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
 

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for JASON B KUREK · (Male)

NPI # 1104865476
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 06/05/2006
Last updated 10/26/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 5901001753
  • MI Medicaid 3258640
  • MI Other 480F37288 BLUE CROSS BLUE SHIELD
  • MI Other 480023791 RAILROAD MEDICARE
Hospital affiliation(s)
  • HENRY FORD HOSPITAL - (Acute Care)
    2799 W GRAND BLVD
    DETROIT, MI 48202
  • HENRY FORD MACOMB HOSPITAL - (Acute Care)
    15855 NINETEEN MILE RD
    CLINTON TOWNSHIP, MI 48038
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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