Organization
MICHAEL J. KITTO, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JON KITTO DO (OWNER)
(586) 532-7397
Entity
Organization
Contact information
Practice address
1000 HARRINGTON ST, MOUNT CLEMENS, MI 48043-2920
(586) 493-8101
Mailing address
51194 ROMEO PLANK RD, #422, MACOMB, MI 48042-4111
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155003555
BCBS
—
Enumeration date
11/15/2006
Last updated
05/16/2008
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