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Ksk Medical Pllc
General Practice Physician in Manitou Beach, Michigan
NPI 1043832801

Ksk Medical Pllc is a General Practice Physician based in Manitou Beach, MI. Ksk Medical Pllc practices in Manitou Beach, MI. The NPI Number for Ksk Medical Pllc is 1043832801 and holds a License No. (Michigan).

The current practice location address for Ksk Medical Pllc is 6300 Winter Rd, Manitou Beach, MI and can be reached out via phone at 517-306-2244 and via fax at 866-465-0269.

Location: 6300 Winter Rd, Manitou Beach, MI, 49253-9634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043832801
Provider Name
Ksk Medical Pllc
Credential
Provider Entity Type
Organization
Address
6300 Winter Rd, Manitou Beach, MI, 49253-9634
Phone Number
517-306-2244
Fax Number
866-465-0269
Provider Enumeration Date
05/14/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2426860 05 OH
institution
Provider Business Practice Location Address Details
Address
6300 Winter Rd
City
Manitou Beach
State
Michigan
Zip
49253-9634
Phone Number
517-306-2244
Fax Number
866-465-0269
person
Provider Business Mailing Address Details
Address
6300 Winter Rd
City
Manitou Beach
State
Michigan
Zip
49253-9634
Phone Number
517-306-2244
Fax Number
866-465-0269
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
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Definition
Definition to come...
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