Individual
KHRISTINE C BOTEZAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
150 N DELAWARE ST, SANDUSKY, MI 48471-1009
(810) 648-9670
(810) 648-9677
Mailing address
PO BOX 191, SANDUSKY, MI 48471-0191
(810) 648-9670
(810) 648-9677
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301084929
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4700615
—
MI
Enumeration date
05/28/2006
Last updated
10/13/2020
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