Individual
KYLEE GATZKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7985 MACKINAW TRL, CADILLAC, MI 49601-8111
(231) 876-6200
(231) 779-5290
Mailing address
PO BOX 533, GRAYLING, MI 49738-0533
(231) 876-7857
(231) 876-7176
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704266159
MI
Other
Enumeration date
10/11/2012
Last updated
06/14/2013
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