Individual
KELLY CHRISTOPHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
879 E MICHIGAN AVE, MARSHALL, MI 49068-2045
(269) 781-4251
Mailing address
4024 20 MILE RD, HOMER, MI 49245-9615
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
5201006633
MI
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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