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Individual

KATHLEEN M ANDRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4025 HEALTH PARK LN, CARING CIRCLE, ST JOSEPH, MI 49085
(269) 429-7100
(269) 429-1959
Mailing address
4025 HEALTH PARK LN, CARING CIRCLE, ST JOSEPH, MI 49085
(269) 429-7100
(269) 429-1959

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
KA036485
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0A110280
BCBS
MI
01
110203216
RAIL ROAD MEDICARE
MI
Enumeration date
03/21/2006
Last updated
05/23/2017
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