Individual
DR. KEVIN MONFETTE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
16001 W 9 MILE RD, SOUTHFIELD, MI 48075-4818
(248) 849-3000
Mailing address
2954 ISLAND PORT DRIVE, METAMORA, MI 48455
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
4301072162
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
KM072162
BC/BS OF MICHIGAN
MI
Enumeration date
06/13/2006
Last updated
07/08/2007
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