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Individual

DONALD S KITAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
9640 COMMERCE RD, SUITE 106, COMMERCE TWP, MI 48382-4111
(248) 360-8825
(248) 360-8897
Mailing address
9640 COMMERCE RD, SUITE 106, COMMERCE TWP, MI 48382-4111
(248) 360-8825
(248) 360-8897

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
DK008753
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01001880
HEALTH PLUS
MI
01
0456330364
BLUE CARE NETWORK
MI
01
102401
CARE CHOICES HMO PPO
MI
05
1876910
MI
01
4498389002
CIGNA
MI
01
4629785
AETNA
MI
01
DK008753
PHYSICIAN LICENSE
MI
01
M014782
TRICARE HEALTHNET
MI
Enumeration date
11/18/2005
Last updated
07/18/2007
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