Individual
JEROME FITZGERALD KASLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Mailing address
701 S BALLENGER HWY, FLINT, MI 48532-3804
(810) 238-3603
(810) 767-5194
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301029475
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4861868
—
MI
01
—
5587790001
NATIONAL GOVERMENT SERVIC
MI
Enumeration date
09/07/2005
Last updated
11/06/2009
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