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Organization
NORTHERN INTERNAL MEDICINE PC
Active
Organization
NORTHERN INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J KIEL DO (PRESIDENT)
(231) 238-0160
Entity
Organization
Contact information
Practice address
1920 S STRAITS HWY, INDIAN RIVER, MI 49749-9792
(231) 238-0160
(231) 238-0153
Mailing address
PO BOX 927, INDIAN RIVER, MI 49749-0927
(231) 238-0160
(231) 238-0153
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
JK010369
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11435122
—
MI
Enumeration date
04/19/2008
Last updated
08/27/2013
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