Individual
DR. KELLY LYNN ARENZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
7575 GRAND RIVER RD, STE 210, BRIGHTON, MI 48114-0000
(810) 844-7940
(810) 844-7955
Mailing address
PO BOX 446, 24 FRANK LLOYD WRIGHT DR LOBBY J, ANN ARBOR, MI 48106-0446
(734) 747-6766
(734) 222-3100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101016947
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0151567
TOTAL HEALTH CARE
—
01
—
181650
GREAT LAKES HEALTH PLAN
—
Enumeration date
05/01/2007
Last updated
08/14/2013
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