Individual
KRIS S DETGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1167 E HOPSON ST, BAD AXE, MI 48413-1555
(989) 269-9983
Mailing address
2084 E MAIN ST, UBLY, MI 48475-9726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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