Individual
DR. KRISTINA LYNNE MASUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10409 S RIVERSIDE DR, SAULT SAINTE MARIE, MI 49783-8616
(906) 203-5848
Mailing address
10409 S RIVERSIDE DR, SAULT SAINTE MARIE, MI 49783-8616
(906) 203-5848
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301063737
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5315054007
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
04/05/2006
Last updated
03/07/2023
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