Individual
KRISTOPHER POOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
708 EMMONS BLVD, LINCOLN PARK, MI 48146-4616
(313) 969-6479
Mailing address
708 EMMONS BLVD, LINCOLN PARK, MI 48146-4616
(313) 969-6479
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
242401177
MI
Other
Enumeration date
10/21/2025
Last updated
10/21/2025
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