Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 4301081455 | MI |
NPI | 1073721437 |
---|---|
Provider Name | Dr. Kristopher Jay Aalderink |
First Address | Ann Arbor, MI 48105-9484 |
Second Address | Ypsilanti, MI 48197-8634 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2007 |
Last Update Date | 14/03/2019 |