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Dr. John W Kitzmiller, MD
Addiction Medicine (Family Medicine) Physician in Lake Orion, Michigan
NPI 1811988504

John W Kitzmiller is an Addiction Medicine (Family Medicine) Physician based in Lake Orion, MI and is specialized in Addiction Medicine. John W Kitzmiller practices in Lake Orion, MI and has the professional credentials of MD. The NPI Number for John W Kitzmiller is 1811988504 and holds a License No. 6301014619 (Michigan).

The current practice location address for John W Kitzmiller is 1375 S Lapeer Rd Ste 203, Lake Orion, MI and can be reached out via phone at 248-693-4000 and via fax at 248-693-4661. You can also correspond with John W Kitzmiller through the mailing address at 1375 S LAPEER RD STE 203, LAKE ORION, MI - 48360-1421 (mailing address contact number: 248-693-4000).

Location: 1375 S Lapeer Rd Ste 203, Lake Orion, MI, 48360-1421
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811988504
Provider Name
John W Kitzmiller
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1375 S Lapeer Rd Ste 203, Lake Orion, MI, 48360-1421
Phone Number
248-693-4000
Fax Number
248-693-4661
Provider Enumeration Date
11/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0606301871 01 BCBS
101521316 05 MI
1720134943 05 MI
institution
Provider Business Practice Location Address Details
Address
1375 S Lapeer Rd Ste 203
City
Lake Orion
State
Michigan
Zip
48360-1421
Phone Number
248-693-4000
Fax Number
248-693-4661
person
Provider Business Mailing Address Details
Address
1375 S Lapeer Rd Ste 203
City
Lake Orion
State
Michigan
Zip
48360-1421
Phone Number
248-693-4000
Fax Number
248-693-4661
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
4301036695 (Michigan)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
207QA0401X
License No.
6301014619 (Michigan)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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