Individual
MATTHEW BRANDON KANITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A
Contact information
Practice address
300 E WARWICK DR, ALMA, MI 48801-1014
(989) 466-3275
Mailing address
715 COBB ST, CADILLAC, MI 49601-2567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007517
MI
Other
Enumeration date
09/09/2015
Last updated
09/09/2015
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