Organization
JOHN KITZMILLER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KITZMILLER MD (OWNER)
(248) 551-8400
Entity
Organization
Contact information
Practice address
3535 W 13 MILE RD, SUITE 248, ROYAL OAK, MI 48073-6710
(248) 551-8400
Mailing address
3535 W 13 MILE RD, SUITE 248, ROYAL OAK, MI 48073-6710
(248) 551-8400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301036695
MI
Other
Enumeration date
05/07/2007
Last updated
08/22/2020
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