Individual
KENNETH DAVID BIRCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5570 STATE ST, SAGINAW, MI 48603-3583
(989) 583-0100
Mailing address
5570 STATE ST, SAGINAW, MI 48603-3583
(989) 583-0100
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704305150
MI
Other
Enumeration date
10/10/2021
Last updated
10/10/2021
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