Michael Kooistra in Auburn - Family Medicine
Michael Kooistra - NPI 1508864380
Michael Kooistra is a Family Medicine in Auburn, Indiana. Michael Kooistra practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Michael Kooistra is 1508864380. The last update date is 2023-12-05.
Michael Kooistra's current location address is 1306 E 7th St Ste A, Auburn, Indiana. You can contact this provider via phone number 2609251255 and fax number 2609251256. The mailing address for Michael Kooistra is 1306 E 7th St Ste A, Auburn, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Kooistra |
|---|---|
| Address | 1306 E 7th St Ste A, Auburn, Indiana |
| Phone Number | 2609251255 |
| Fax Number | 2609251256 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1508864380 |
|---|---|
| Provider Enumeration Date | 2005-07-14 |
| Last Updated Date | 2023-12-05 |
Provider Mailing Address Detail
| Address | 1306 E 7th St Ste A |
|---|---|
| City | Auburn |
| State | Indiana (IN) |
| Post Code | 4670625370 |
| Phone Number | 2609251255 |
| Fax Number | 2609251256 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 01045333A |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 01045333A | IN | -- | |
| 200115800 | IN | -- |
Post Comment/ Review Below
What is the Michael Kooistra's 1508864380?
The Michael Kooistra's NPI (National Provider Identifier) Number is 1508864380. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Michael Kooistra is physically located?
The Michael Kooistra is situated at the following address: 1306 E 7Th St Ste A, Auburn, IN 4670625370.
What is the Michael Kooistra's specialty and taxonomy code?
The Michael Kooistra's specialty is Family Medicine, and the corresponding taxonomy code is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1508864380 to Michael Kooistra?
The Michael Kooistra received its 1508864380 assignment from the Centers for Medicare & Medicaid Services on 2005-07-14.
When was the information regarding Michael Kooistra most recently updated?
The details pertaining to the Michael Kooistra, including its address, specialty, and other relevant information, were last refreshed on 2023-12-05.