Ellen Marie Kruggel
M.D. | Pediatrics | Female
Ellen Marie Kruggel, M.D. is a Kentwood, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Ellen Marie Kruggel is
4600 Breton Rd Se, Suite 103, Kentwood, Michigan - 49508-5262. She can be contacted on phone at
616-656-8600 and fax number 616-656-8601.
Ellen Marie Kruggel is a sole proprietor of her business.
NPI number (Unique professional ID) for Ellen Marie Kruggel is
1114917226 which was assigned by NPPES on 28 Oct, 2005 and it was last updated on 08 Jul, 2007.
Ellen Marie Kruggel license number is
4301067448 for Pediatrics (208000000X) in Michigan.
Ellen Marie Kruggel is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Ellen Marie Kruggel basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Ellen Marie Kruggel |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Ellen Marie Kruggel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 4600 Breton Rd Se, Suite 103
Kentwood, MI, 49508-5262
United States |
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| Phone Number : | 616-656-8600 |
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| Fax Number : | 616-656-8601 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1114917226 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 28 Oct, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ellen Marie Kruggel are as mentioned. Primary taxonomy code for Ellen Marie Kruggel, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301067448 | MI |
Legacy Identifiers:
Other legacy medical identifiers of Ellen Marie Kruggel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 4695097 | MEDICAID | MI | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4600 Breton Rd Se, Suite 103
Kentwood, MI, 49508-5262
United States |
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| Phone Number : | 616-656-8600 |
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| Fax Number : | 616-656-8601 |
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Business Location:
Patients can refer following map for directions to
Ellen Marie Kruggel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.