Individual
KATHERINE KOTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
3901 BEAUBIEN, CHILDREN'S HOSPITAL OF MI/UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 745-5515
(313) 745-5237
Mailing address
4201 ST. ANTIONE UHC 5D, UNIVERSITY PEDIATRICIANS, DETROIT, MI 48201
(313) 966-5051
(313) 966-0665
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4704258161
MI
363LP0200X
Pediatric Nurse Practitioner
4704258161
MI
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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