Individual
KRISTINE ANN TUCHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A. -C
Contact information
Practice address
1005 S US HIGHWAY 27, SUITE 200, SAINT JOHNS, MI 48879-2423
(989) 224-6897
(989) 224-6898
Mailing address
1005 S US HIGHWAY 27, SUITE 100, SAINT JOHNS, MI 48879-2423
(989) 224-3000
(989) 224-1424
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5601003405
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0C36097
TRAVELERS MEDICARE
—
01
—
5601003405
STATE LICENSE
MI
Enumeration date
05/14/2008
Last updated
03/24/2016
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