Kristina Nicole Wittrock in Troy - Pediatrics
Kristina Nicole Wittrock - NPI 1366430068
Kristina Nicole Wittrock is a Pediatrics in Troy, Michigan. Kristina Nicole Wittrock practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kristina Nicole Wittrock is 1366430068. The last update date is 2007-07-08.
Kristina Nicole Wittrock's current location address is 2801 W Big Beaver Rd, Troy, Michigan. You can contact this provider via phone number 2486436220 and fax number 2486434914. The mailing address for Kristina Nicole Wittrock is 2801 W Big Beaver Rd, Troy, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristina Nicole Wittrock |
|---|---|
| Address | 2801 W Big Beaver Rd, Troy, Michigan |
| Phone Number | 2486436220 |
| Fax Number | 2486434914 |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1366430068 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2801 W Big Beaver Rd |
|---|---|
| City | Troy |
| State | Michigan (MI) |
| Post Code | 480843243 |
| Phone Number | 2486436220 |
| Fax Number | 2486434914 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 152Wp0200X |
| Licence No | 4901003786 |
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Definition: Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| KW003876 | MI | BCBSM PIN |
Post Comment/ Review Below
What is the Kristina Nicole Wittrock's unique identification number?
The Kristina Nicole Wittrock has been assigned the NPI (National Provider Identifier) Number 1366430068 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kristina Nicole Wittrock is located?
The Kristina Nicole Wittrock is situated at the following address: 2801 W Big Beaver Rd, Troy, MI, 480843243.
What is the Kristina Nicole Wittrock's area of specialization and corresponding taxonomy classification?
The Kristina Nicole Wittrock's specialty field is Pediatrics, and it falls under the taxonomy code 152Wp0200X, which categorizes healthcare providers based on their specialties.
On what date did the Kristina Nicole Wittrock receive the assignment of its 1366430068 from the Centers for Medicare & Medicaid Services?
The Kristina Nicole Wittrock was issued its 1366430068 by the Centers for Medicare & Medicaid Services on 2005-10-07.
As of what date was the information pertaining to Kristina Nicole Wittrock, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Kristina Nicole Wittrock, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.