Organization
MEDPLUS P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENE E KIELHORN D.O. (PRESIDENT)
(517) 592-5679
Entity
Organization
Contact information
Practice address
212 S MAIN ST, BROOKLYN, MI 49230-9114
(517) 592-5679
Mailing address
212 S MAIN ST, BROOKLYN, MI 49230-9114
(517) 592-5679
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
700C86065
BLUE CROSS
MI
Enumeration date
04/06/2007
Last updated
10/30/2007
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