Individual
DR. JOHN AMIR KELLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 COOPER AVE, SAGINAW, MI 48602-5383
(989) 583-6200
Mailing address
4344 STATE ST, SAGINAW, MI 48603-4074
(989) 791-0452
(989) 791-2007
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
4301080744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4538602
—
MI
01
—
JK080744
BCBSM
—
Enumeration date
01/11/2006
Last updated
11/15/2007
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