Provider Demographics
NPI:1932335643
Name:KRESS, MARIE-ADELE SOREL (MD)
Entity Type:Individual
Prefix:DR
First Name:MARIE-ADELE
Middle Name:SOREL
Last Name:KRESS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MARIE-ADELE
Other - Middle Name:
Other - Last Name:SOREL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5301 E HURON RIVER DR
Mailing Address - Street 2:DEPT 722
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-1051
Mailing Address - Country:US
Mailing Address - Phone:734-712-3595
Mailing Address - Fax:734-712-5344
Practice Address - Street 1:5301 E HURON RIVER DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-1051
Practice Address - Country:US
Practice Address - Phone:734-712-3595
Practice Address - Fax:734-712-5344
Is Sole Proprietor?:No
Enumeration Date:2009-06-09
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI43011046962085R0001X
MA240377390200000X
DCMS928390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program