Individual
DR. ANDRIS KAZMERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3250 WOODS WAY STE 9, PETOSKEY, MI 49770-7629
(231) 881-9700
(231) 881-9698
Mailing address
3290 WOODS WAY, PETOSKEY, MI 49770-8694
(231) 348-3800
(231) 348-3804
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301041254
MI
2086S0129X
Vascular Surgery Physician
Primary
4301041254
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0B40185
BCN
MI
01
—
MI10219
MEDICARE PTAN
MI
Enumeration date
04/17/2006
Last updated
02/22/2021
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