Individual
DR. KEVIN L GIETZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1114 CHARLEVOIX AVE, PETOSKEY, MI 49770-9701
(231) 489-8151
(231) 668-7794
Mailing address
1114 CHARLEVOIX AVE, PETOSKEY, MI 49770-9701
(231) 489-8151
(231) 668-7794
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
5101013761
MI
Other
Enumeration date
07/19/2006
Last updated
09/20/2023
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