Individual
DR. ROXANNE KYRIAKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
221 MICHIGAN ST NE STE 200-A, GRAND RAPIDS, MI 49503-2543
(616) 391-1405
(616) 391-8611
Mailing address
221 MICHIGAN ST NE STE 200-A, GRAND RAPIDS, MI 49503-2543
(616) 391-1405
(616) 391-8611
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301112945
MI
208600000X
Surgery Physician
4301506900
MI
208C00000X
Colon & Rectal Surgery Physician
4301506900
MI
Other
Enumeration date
06/23/2017
Last updated
07/21/2022
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