Michael J Kenneson D.O.

NPI 1154391969 - Family Medicine - 207Q00000X

NPI Details
NPI 1154391969
Gender Male
Enumeration Date 01/24/2006
Last Updated 03/24/2014
Entity Type Individual
Active Over 11 years ago
Practice Location
42645 GARFIELD RD
SUITE 103
CLINTON TWP MI, 48038-5022, US
Phone (586) 286-0050
Fax (586) 286-0880
Business Location
42645 GARFIELD RD
SUITE 103
CLINTON TWP MI, 48038-5022, US
Phone (586) 286-0050
Fax (586) 286-0880
Toxanomy
Taxonomy Code 207Q00000X
License State Michigan
License Number 5101010986
Remove 1154391969 NPI Number
 

According to our database, Dr. Michael J Kenneson D.O. NPI is 1154391969, taxonomy code is 207Q00000X and license number is 5101010986, license state is located at Michigan. Michael J Kenneson D.O. physically located at 42645 Garfield Rd, Clinton Twp MI, 48038-5022. NPI Number Michael J Kenneson D.O. has the Individual type.

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1154391969 NPI number is provided on an as is basis without warranty of any kind. 1154391969 is maintained by the National Plan & Provider Enumeration System. The contents of Michael J Kenneson D.O. are for informational purposes only.