Healthcare Provider Details
I. General information
NPI: 1548291982
Provider Name (Legal Business Name): MELANIE KRAMER-HARRINGTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/05/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5854 STATE ST
KINGSTON MI
48741-9524
US
IV. Provider business mailing address
4675 HILL ST
CASS CITY MI
48726-1008
US
V. Phone/Fax
- Phone: 989-683-8065
- Fax: 989-683-8088
- Phone: 989-912-6185
- Fax: 989-872-4137
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207QA0401X |
| Taxonomy | Addiction Medicine (Family Medicine) Physician |
| License Number | 4301079622 |
| License Number State | MI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 4301079622 |
| License Number State | MI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: