Individual
KRISTOPHER BARRETT DEATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109-5000
(734) 647-5299
Mailing address
3621 S STATE ST, ANN ARBOR, MI 48108-1633
(734) 647-5299
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301085990
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
4301085990
MI
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
D82571
MD
Other
Enumeration date
03/28/2007
Last updated
07/22/2024
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