Individual
WILLIAM KANITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
620 BYRON RD, HOWELL, MI 48843-1002
(231) 878-2519
Mailing address
7585 FOSDICK RD, SALINE, MI 48176-9090
(231) 878-2519
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01075546A
IN
390200000X
Student in an Organized Health Care Education/Training Program
11017906A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201233370
—
IN
Enumeration date
06/18/2014
Last updated
12/21/2021
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