Individual
KEVIN PATRICK FITZGERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503-2550
(616) 391-3777
Mailing address
25 MICHIGAN ST NE STE 2100, GRAND RAPIDS, MI 49503-2526
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
5101028044
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2021
Last updated
06/04/2025
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