Individual
BEATA KIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Mailing address
41800 W 11 MILE RD STE 109, NOVI, MI 48375-1818
(248) 660-1220
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1770895344
MO
207R00000X
Internal Medicine Physician
Primary
70734
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770895344
—
WI
Enumeration date
07/12/2010
Last updated
09/09/2024
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