Individual
DR. KEVIN WATAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1322 E MICHIGAN AVE STE 300, LANSING, MI 48912-2109
(517) 253-6388
Mailing address
1215 E MICHIGAN AVE, LANSING, MI 48912-1896
(517) 253-8366
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5151015829
MI
Other
Enumeration date
06/03/2022
Last updated
06/30/2022
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