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Individual

DR. JOHN KANITRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5325 ELLIOTT DR STE 101, YPSILANTI, MI 48197-8633
(734) 712-8272
(734) 887-8945
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
(734) 222-3100

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.154814
OH
208600000X
Surgery Physician
4301504105
MI
2086S0129X
Vascular Surgery Physician
35.154814
OH
2086S0129X
Vascular Surgery Physician
Primary
4301504105
MI
2086S0129X
Vascular Surgery Physician
BP10084099
TX

Other

Enumeration date
04/19/2018
Last updated
12/10/2025
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