Individual
CATHERINE A KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
135 E. M-35, GWINN, MI 49841
(906) 346-9275
Mailing address
301 EXPLORER ST, GWINN, MI 49841-2813
(906) 346-4924
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085520052
BLUE CROSS BLUE SHIELD MI
MI
05
—
113395739
—
MI
Enumeration date
05/11/2006
Last updated
04/14/2021
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