Individual
DR. KAITLYN ELIZABETH TAKACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(630) 945-2989
Mailing address
1 GENESYS PKWY, GRAND BLANC, MI 48439-8065
(630) 945-2989
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4351045256
MI
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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