Individual
DR. KATHLEEN BEHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(231) 947-1112
(231) 346-6017
Mailing address
10767 E TRAVERSE HWY, TRAVERSE CITY, MI 49684-6219
(231) 947-1112
(231) 346-6017
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036103015
IL
207R00000X
Internal Medicine Physician
Primary
4301106511
MI
208000000X
Pediatrics Physician
036103015
IL
208000000X
Pediatrics Physician
4301106511
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036103015
—
IL
01
—
05-0540914
WELLGROUP TAX ID
IL
05
—
1861430225
—
MI
Enumeration date
06/04/2006
Last updated
05/10/2024
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