Provider Demographics
NPI:1801889662
Name:KREBS, DAVID B (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:B
Last Name:KREBS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5310 HAMPTON PL
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-8202
Mailing Address - Country:US
Mailing Address - Phone:989-799-2020
Mailing Address - Fax:989-799-8700
Practice Address - Street 1:5310 HAMPTON PL
Practice Address - Street 2:SUITE 2
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-8202
Practice Address - Country:US
Practice Address - Phone:989-799-2020
Practice Address - Fax:989-799-8700
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-26
Last Update Date:2011-11-21
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Provider Licenses
StateLicense IDTaxonomies
MI43010075068207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4156242Medicaid
MI4699990Medicaid
MI43010075068OtherLICENSE
MI4699990Medicaid
MI0M96170Medicare PIN
MI6171810001Medicare NSC
MI43010075068OtherLICENSE