Kimberly Ann Doppelt (Change in Ishpeming - Surgical
Kimberly Ann Doppelt (Change - NPI 1245309996
Kimberly Ann Doppelt (Change is a Surgical in Ishpeming, Michigan. Kimberly Ann Doppelt (Change practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kimberly Ann Doppelt (Change is 1245309996. The last update date is 2012-10-23.
Kimberly Ann Doppelt (Change's current location address is 901 Lakeshore Dr., Ishpeming, Michigan. You can contact this provider via phone number 9064852747 and fax number 9064852732. The mailing address for Kimberly Ann Doppelt (Change is 901 Lakeshore Dr., Ishpeming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kimberly Ann Doppelt (Change |
|---|---|
| Address | 901 Lakeshore Dr., Ishpeming, Michigan |
| Phone Number | 9064852747 |
| Fax Number | 9064852732 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245309996 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2012-10-23 |
Provider Mailing Address Detail
| Address | 901 Lakeshore Dr. |
|---|---|
| City | Ishpeming |
| State | Michigan (MI) |
| Post Code | 49849 |
| Phone Number | 9064852747 |
| Fax Number | 9064852732 |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | C0003421 |
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Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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What is the Kimberly Ann Doppelt (Change's 1245309996?
The Kimberly Ann Doppelt (Change's NPI (National Provider Identifier) Number is 1245309996. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Kimberly Ann Doppelt (Change located?
The Kimberly Ann Doppelt (Change is located at 901 Lakeshore Dr., Ishpeming, MI 49849.
What is Kimberly Ann Doppelt (Change's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kimberly Ann Doppelt (Change is Surgical, and the taxonomy code that categorizes this field of expertise is 363As0400X.
On what date did Kimberly Ann Doppelt (Change receive its 1245309996 assignment from the Centers for Medicare & Medicaid Services?
The Kimberly Ann Doppelt (Change was assigned its 1245309996 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Kimberly Ann Doppelt (Change most recently updated or refreshed?
The details pertaining to the Kimberly Ann Doppelt (Change, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-10-23.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA