NPI 1023036563

Mark G Kanitz, MD

Practitioner Emergency Medical Services (Emergency Medicine) Physician Grand Rapids, MI

Practice location

Address: 100 Michigan St NE, Grand Rapids, MI 49503-2560
Phone: (616) 391-1680
Mailing address: 2537 Momentum Pl, Chicago, IL 60689-5325

Registered specialties

Emergency Medical Services (Emergency Medicine) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207PE0004X Licence 4301052977 (MI)

Other Emergency Medicine providers in Michigan →

Registry record

NPI: 1023036563
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2006
Record last updated: 15 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.