Organization · Type 2 NPI
KSK Medical PLLC
General Practice Physician · Manitou Beach, MI
NPI number
1043832801
Active
Practice location
6300 Winter Rd
Manitou Beach, MI 49253-9634
Fax (866) 465-0269
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | None listed |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
About NPI 1043832801
KSK Medical PLLC's National Provider Identifier is 1043832801, issued on May 14, 2020. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Manitou Beach, MI. The record was last updated on May 14, 2020.