Organization
CATHERINE A KROLL, DO,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE A KROLL (OWNER)
(906) 346-9275
Entity
Organization
Contact information
Practice address
135 E. M-35, GWINN, MI 49841
(906) 346-9275
Mailing address
PO BOX 1330, GWINN, MI 49841-1330
(906) 346-9275
(906) 346-5161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101008621
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0805210582
BLUE CROSS BLUE SHIELD MI
MI
01
—
085520052
BLUE CROSS BLUE SHIELD MI
MI
05
—
104839571
—
MI
05
—
113395739
—
MI
Enumeration date
05/11/2006
Last updated
05/19/2008
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