Individual
STEVEN MICHAEL NITSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
575 W CROSSTOWN PKWY, KALAMAZOO, MI 49008-1908
(269) 343-5750
(269) 343-4936
Mailing address
575 W CROSSTOWN PKWY, KALAMAZOO, MI 49008-1908
(269) 343-5750
(269) 343-4936
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
4301039963
MI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301039963
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0390985
BLUESHIELD OF MICHIGAN
MI
01
—
13-30483
PHYSICIANS HEALTH PLAN
MI
05
—
4167184
—
MI
01
—
4319126
AETNA
MI
Enumeration date
09/15/2005
Last updated
05/05/2016
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