DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. KATHLEEN ANZICEK, DO

Active Sole Proprietor

MRS. KATHLEEN ANZICEK, DO is a Family Medicine healthcare provider located in GRASS LAKE, Michigan. NPI 1336240225 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · GRASS LAKE, MI

Registration Details

NPI Number
1336240225
Provider Type
Individual
Gender
Female
NPI Issued
Sep 26, 2006 (19.867369054722 yrs)
Last Updated
May 6, 2019
License
KA008052 (MI)
Sole Proprietor
Yes

Practice Information

Address
12337 E MICHIGAN AVE
GRASS LAKE, MI, 492400246
Browse MI providers · Browse ZIP 49240
Phone
5175228403
Fax
5175224275
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in GRASS LAKE, MI

Name Credential NPI
SANDRA R RICHARDS N.P. 1194747501
DR. MARK E LEVENTER MD 1174637995
DR. KATHERINE A COX DO 1942520424
LAUREN PAIGE SIBECK MD 1265995013
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.