Individual
KIRSTIN JENNIFER RORVIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1504 HARCREST DR, MIDLAND, MI 48640-4717
(989) 631-2900
(989) 631-2915
Mailing address
1504 HARCREST DR, MIDLAND, MI 48640-4717
(989) 631-2900
(989) 631-2915
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901019296
MI
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2901019296
STATE LICENSE
MI
Enumeration date
09/25/2006
Last updated
06/18/2020
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