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Organization

KENNETH EARL KRATZER

Active
Other names
Fennville Family Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENNETH EARL KRATZER D.O. (PRESIDENT)
(269) 561-8761
Entity
Organization

Contact information

Practice address
200 NORTH MAPLE STREET, FENNVILLE, MI 49408-0664
(269) 561-8761
(269) 561-6040
Mailing address
PO BOX 664, FENNVILLE, MI 49408-0664
(269) 561-8761
(269) 561-6040

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111035922
MI
Enumeration date
12/03/2007
Last updated
05/22/2008
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