Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 4301114092 | MI |
N | 208800000X | Urologist | 43622 | MN |
N | 208800000X | Urologist | D0066329 | MD |
NPI | 1023095130 |
---|---|
Provider Name | Kristin Lynn Chrouser |
First Address | Ann Arbor, MI 48108-1633 |
Second Address | Ann Arbor, MI 48109-5330 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/12/2005 |
Last Update Date | 05/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
413458300 | (05) | MD |
650915100 | (05) | MN |
H40928 | (02) |