Individual
DR. KATHERINE DIRENZO BLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4900A JACKSON ROAD, ANN ARBOR, MI 48103-1876
(734) 998-7380
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
125.062659
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
4301112379
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2013
Last updated
07/21/2022
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