Individual
KYLE ANDREW ROOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1322 E MICHIGAN AVE STE 202B, LANSING, MI 48912-2109
(586) 854-1595
Mailing address
1322 E MICHIGAN AVE STE 202B, LANSING, MI 48912-2109
(517) 364-5710
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4351054366
MI
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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