Provider Demographics
NPI:1831348416
Name:ALLAN KALMUS DPM PC
Entity type:Organization
Organization Name:ALLAN KALMUS DPM PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/PWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KALMUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:734-287-2500
Mailing Address - Street 1:5250 AUTO CLUB DR STE 220
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48126-2619
Mailing Address - Country:US
Mailing Address - Phone:313-203-5300
Mailing Address - Fax:313-914-2529
Practice Address - Street 1:5250 AUTO CLUB DR STE 220
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2619
Practice Address - Country:US
Practice Address - Phone:313-203-5300
Practice Address - Fax:313-914-2529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIDN8755OtherRAILROAD MEDICARE
MI1831348416Medicaid
MI0H24108OtherBCBSM
MI4858218290OtherBCBSM
MI0P62910Medicare PIN
MI4858218290OtherBCBSM
MI1831348416Medicaid