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

KENNETH W DISTLER, MD

Active Sole Proprietor

Specialist · SAGINAW, MI

Registration Details

NPI Number
1598849903
Provider Type
Individual
Gender
Male
NPI Issued
Oct 24, 2006 (19.519629731322 yrs)
Last Updated
Jul 9, 2007
License
KD046952 (MI)
Sole Proprietor
Yes

Practice Information

Address
2130 MARSHALL CT
SAGINAW, MI, 486023351
Browse MI providers · Browse ZIP 48602
Phone
9897990600
Fax
9897996080
Primary Specialty
Specialist
174400000X

Other Specialist Providers in SAGINAW, MI

Name Credential NPI
JOSEPH E OESTERLING MD 1538136353
DR. MEENA ARORA RAMANI M.D. 1689623290
DR. CARLOTTA M MARESCA M.D. 1093811515
MANUEL M PEREA M.D. 1366527137
STEVEN RICHARD STIDHAM STONE C.M.M.T. 1194961128
MS. KATHY ANNE GEIGER C.P.C 1275874877
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.