Individual
KRISTEN ELIZABETH UNSICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3399 E GRAND RIVER AVE, HOWELL, MI 48843-7555
(734) 539-5080
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301506821
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4315104102
LIMITED EDUCATION LICENSE
MI
01
—
531507209
CONTROLLED SUBSTANCE LICENSE
MI
Enumeration date
05/30/2019
Last updated
07/12/2022
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