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Organization

PROMEDICA NORTH PHYSICIANS CORPORATION

Active
Find providers by NPI
Organization

PROMEDICA NORTH PHYSICIANS CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR)
(567) 585-1969
Entity
Organization

Contact information

Practice address
413 N CHICAGO ST, LITCHFIELD, MI 49252-9792
(517) 542-3217
(517) 542-3490
Mailing address
PO BOX 639772, CINCINNATI, OH 45263-9775

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
NULL
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
NULL
213E00000X
Podiatrist
—
—

Other

Enumeration date
10/29/2019
Last updated
10/29/2019
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