Individual
DR. KIRSTEN MICHELLE MILLER-UNGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
36555 26 MILE RD STE 2100, LENOX, MI 48048-3188
(586) 532-0599
(586) 566-8967
Mailing address
57222 BRECKENRIDGE DR, WASHINGTON, MI 48094-3577
(586) 480-3895
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301078011
MI
208000000X
Pediatrics Physician
Primary
4301078011
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383577242
SHARED TAX ID
MI
05
—
4764050
—
MI
Enumeration date
12/26/2005
Last updated
04/16/2024
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