Individual
JOHN R TRITTSCHUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4016 W MAIN ST, KALAMAZOO, MI 49006
(269) 344-3366
(269) 344-3676
Mailing address
4016 W MAIN ST, KALAMAZOO, MI 49006
(269) 344-3366
(269) 344-3676
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
JT031851
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0524240001
ADMINISTAR FEDERAL
MI
01
—
0830973
IBA PHP
MI
05
—
102966940
—
MI
01
—
180012001
PALAMETTO GBA
MI
01
—
180399449
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/28/2006
Last updated
07/08/2007
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