Individual
DR. KIMBERLY LYNN EUSTACHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 GENESYS PKWY, MEDICAL EDUCATION DEPT. 4626, GRAND BLANC, MI 48439-8065
(810) 606-6372
(810) 606-5990
Mailing address
134 N LEROY ST STE 203, FENTON, MI 48430-3803
(330) 231-6884
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301108097
MI
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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