Individual
DR. ANNETTE ELISABETH KRETZLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1102 E MICHIGAN AVE, JACKSON, MI 49201-1802
(517) 780-7299
Mailing address
3621 S STATE ST, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301087783
MI
2085R0001X
Radiation Oncology Physician
Primary
4301087783
MI
390200000X
Student in an Organized Health Care Education/Training Program
4301087783
MI
Other
Enumeration date
03/26/2007
Last updated
05/21/2010
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