Individual
KRISTIN TOMPKINS MIZERIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 NORTH AVENUE, OUTPATIENT CENTER, BATTLE CREEK, MI 49017-4901
(855) 618-2676
Mailing address
PO BOX 2526, FORT WAYNE, IN 46801-2526
(260) 436-8686
(260) 436-8585
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
01085567A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300049470
—
IN
Enumeration date
06/20/2012
Last updated
04/26/2023
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