Individual
KRISTEN IRWIN
Active
Individual
KRISTEN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11015993A
IN
207V00000X
Obstetrics & Gynecology Physician
4301096586
MI
Other
Enumeration date
07/10/2010
Last updated
06/22/2011
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