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NPI Code Detail

MEDICARE: DR. CHRISTOPHER JOHN KIRKPATRICK M.D.

MEDICARE: DR. CHRISTOPHER JOHN KIRKPATRICK M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician4301106274MI

General Provider Information

NPI Number : 1417153529
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTOPHER JOHN KIRKPATRICK M.D.
Provider Business Mailing Address
First Line : 1401 PRESQUE ISLE AVE
Second Line : VIELMETTI HEALTH CENTER
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1401 PRESQUE ISLE AVE
Second Line :
City : MARQUETTE
State : MI
Zip : 49855-2818
Country : US
Telephone Number : 906-227-2357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 01/13/2017

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