Provider Demographics
NPI:1659670461
Name:KRUMAN, NEAL J (DPM)
Entity Type:Individual
Prefix:DR
First Name:NEAL
Middle Name:J
Last Name:KRUMAN
Suffix:
Gender:M
Credentials:DPM
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Mailing Address - Street 1:4449 WOODRIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WATERFORD
Mailing Address - State:MI
Mailing Address - Zip Code:48328-4277
Mailing Address - Country:US
Mailing Address - Phone:248-681-9677
Mailing Address - Fax:248-681-9678
Practice Address - Street 1:20176 LIVERNOIS AVE
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221-1346
Practice Address - Country:US
Practice Address - Phone:313-864-7385
Practice Address - Fax:313-864-7432
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-18
Last Update Date:2016-07-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI5901000542213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN16530011Medicare UPIN