Provider Demographics
NPI:1356574727
Name:KRUK, MARGARET ELIZABETH (MD)
Entity type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ELIZABETH
Last Name:KRUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 ARBANA DR
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3706
Mailing Address - Country:US
Mailing Address - Phone:917-969-4405
Mailing Address - Fax:
Practice Address - Street 1:306 ARBANA DR
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3706
Practice Address - Country:US
Practice Address - Phone:917-969-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2009-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301086720207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine