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DR. CORRINE LYNETTE KVAMME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6817
Mailing address
1000 HOUGHTON AVE, SAGINAW, MI 48602-5303
(989) 583-6817

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301092183
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4301092183
BOARD OF MEDICINE PHYSICIAN EDUCATIONAL LIMITED LICENSE
MI
01
5315035962
BOARD OF PHARMACY CONTROLLED SUBSTANCE LICENCE
MI
Enumeration date
07/02/2008
Last updated
01/10/2011
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