Individual
KRISTA S ANHALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
748 S MAIN ST, CHEBOYGAN, MI 49721-2220
(231) 487-2490
Mailing address
4100 EMBASSY DR SE STE 400, GRAND RAPIDS, MI 49546-2416
(616) 975-1845
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101015064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114788721
—
MI
01
—
KA015064
BLUE SHIELD PIN
MI
01
—
MI51015064
BLUE CROSS PIN
MI
Enumeration date
02/19/2007
Last updated
11/10/2023
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