Organization
PROMEDICA NORTH PHYSICIANS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN KNUEVEN (CREDENTIALING SUPERVISOR)
(567) 585-1969
Entity
Organization
Contact information
Practice address
413 N CHICAGO ST, LITCHFIELD, MI 49252-9792
(517) 542-3217
(517) 542-3490
Mailing address
PO BOX 639772, CINCINNATI, OH 45263-9775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208600000X
Surgery Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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