Individual
MR. KENNETH PAUL FITTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
274 EAST CHICAGO STREET, EMERGENCY DEPT. COMMUNITY HEALTH CENTER OF BRANCH COUN, COLDWATER, MI 49036
(517) 279-5400
Mailing address
2000 GREEN RD, ANN ARBOR, MI 48105-1598
(180) 046-6376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003112
MI
363AM0700X
Medical Physician Assistant
5601003112
MI
Other
Enumeration date
06/11/2007
Last updated
06/01/2010
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