Dr. John W Kitzmiller
Clinical Psychologist Family Doctor - Addiction Medicine
1375 S Lapeer Rd Ste 203
Lake Orion
, Michigan 48360-1421
Dr. John W Kitzmiller
Clinical Psychologist Family Doctor - Addiction Medicine
1375 S Lapeer Rd Ste 203
Lake Orion
, Michigan 48360-1421
(248) 693-4661
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About
Features
Specialties
- Clinical Psychologist
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Dr. John W Kitzmiller
- 1375 S Lapeer Rd Ste 203
- Lake Orion, MI
- Zip : 48360-1421
- Fax : (248) 693-4661
- Phone : (248) 693-4000
Second Address
- Dr. John W Kitzmiller
- 1375 S Lapeer Rd Ste 203
- Lake Orion, MI
- Zip : 48360-1421
- Fax : (248) 693-4661
- Phone : (248) 693-4000
Reviews
FAQs
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Is Dr. John W Kitzmiller a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103G00000X | Clinical Psychologist | 6301014619 | MI |
| N | 103TC0700X | Clinical Psychologist | 6301014619 | MI |
| Y | 207QA0401X | Family Doctor - Addiction Medicine | 4301036695 | MI |
National Provider Identifier
| NPI | 1811988504 |
|---|---|
| Provider Name | Dr. John W Kitzmiller |
| First Address | Lake Orion, MI 48360-1421 |
| Second Address | Lake Orion, MI 48360-1421 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/11/2005 |
| Last Update Date | 28/03/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0606301871 | BCBS (01) | |
| 101521316 | (05) | MI |
| 1720134943 | (05) | MI |
| B45980 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.