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Individual

MICHAEL WAYNE KINNING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1675 LEAHY ST STE 324B, MUSKEGON, MI 49442-5500
(231) 672-8700
(231) 728-1675
Mailing address
1675 LEAHY ST STE 324B, MUSKEGON, MI 49442-5500
(231) 672-2870
(231) 728-1675

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021955
MI
207RG0100X
Gastroenterology Physician
Primary
5101021955
MI

Other

Enumeration date
06/20/2015
Last updated
06/22/2022
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