Organization
JOHN KITZMILLER M.D. PC
Active
Other names
Bald Mountain Behavioral Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN WILLIAM KITZMILLER M.D. (PRESIDENT)
(248) 693-4000
Entity
Organization
Contact information
Practice address
1455 S LAPEER RD STE 200, LAKE ORION, MI 48360-1468
(248) 693-4000
Mailing address
1455 S LAPEER RD STE 200, LAKE ORION, MI 48360-1468
(248) 693-4000
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
430136695
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101521316
—
MI
Enumeration date
09/19/2013
Last updated
03/07/2025
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