Individual
TONIA DARLINE KROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2837 US 41 W, MARQUETTE, MI 49855-2252
(906) 225-3964
(906) 226-3875
Mailing address
580 W COLLEGE AVE, MARQUETTE, MI 49855-2705
(906) 225-3993
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704234970
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5008774650
BLUE CROSS BLUE SHIELD OF MICHIGAN
MI
Enumeration date
07/20/2007
Last updated
04/29/2009
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