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Kenneth W Distler, MD
Specialist in Saginaw, Michigan
NPI 1598849903

Kenneth W Distler is a Specialist based in Saginaw, MI. Kenneth W Distler practices in Saginaw, MI and has the professional credentials of MD. The NPI Number for Kenneth W Distler is 1598849903 and holds a License No. KD046952 (Michigan).

The current practice location address for Kenneth W Distler is 2130 Marshall Ct, Saginaw, MI and can be reached out via phone at 989-799-0600 and via fax at 989-799-6080.

Location: 2130 Marshall Ct, Saginaw, MI, 48602-3351
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598849903
Provider Name
Kenneth W Distler
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2130 Marshall Ct, Saginaw, MI, 48602-3351
Phone Number
989-799-0600
Fax Number
989-799-6080
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1681561 05 MI
KD046952 01 MI LICENSE
institution
Provider Business Practice Location Address Details
Address
2130 Marshall Ct
City
Saginaw
State
Michigan
Zip
48602-3351
Phone Number
989-799-0600
Fax Number
989-799-6080
person
Provider Business Mailing Address Details
Address
2130 Marshall Ct
City
Saginaw
State
Michigan
Zip
48602-3351
Phone Number
989-799-0600
Fax Number
989-799-6080
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
KD046952 (Michigan)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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