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NPI Code Detail

MEDICARE: KATHRYN NEUMANN SPINNIKEN RPH, CGP, MBA

MEDICARE: KATHRYN NEUMANN SPINNIKEN RPH, CGP, MBA
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
11835G0303XGeriatric Pharmacist5302029519MI

General Provider Information

NPI Number : 1528052941
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN NEUMANN SPINNIKEN RPH, CGP, MBA
Provider Business Mailing Address
First Line : 6730 E ALPERS RD
Second Line :
City : LAKE LEELANAU
State : MI
Zip : 49653-9634
Country : US
Telephone Number : 231-271-6696
Fax Number :
Provider Business Practice Location Address
First Line : 550 MUNSON AVE
Second Line :
City : TRAVERSE CITY
State : MI
Zip : 49686-3580
Country : US
Telephone Number : 231-935-8734
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2005
Last Update Date : 07/08/2007

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