Individual
KAITLYN MARIE ROUNTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1 HOSPITAL DR # MC404, COLUMBIA, MO 65212-1000
(573) 884-2000
Mailing address
15855 NINETEEN MILE ROAD, HENRY FORD MACOMB HOSPITAL, CLINTON TOWNSHIP, MI 48038
(732) 762-3676
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2020015125
MO
2086S0129X
Vascular Surgery Physician
Primary
5101026602
MI
Other
Enumeration date
03/04/2015
Last updated
08/02/2022
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