Mark G Kanitz
Emergency Medical Services
100 Michigan St Ne
Grand Rapids
, Michigan 49503-2560
Mark G Kanitz
Emergency Medical Services
100 Michigan St Ne
Grand Rapids
, Michigan 49503-2560
(616) 285-0846
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About
Features
Specialties
- Emergency Medical Services
Languages spoken
- English
Location
First Address
- Mark G Kanitz
- 2537 Momentum Pl
- Chicago, IL
- Zip : 60689-5325
- Fax : (616) 285-0846
- Phone : (616) 975-1845
Second Address
- Mark G Kanitz
- 100 Michigan St Ne
- Grand Rapids, MI
- Zip : 49503-2560
- Phone : (616) 391-1680
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207PE0004X | Emergency Medical Services | 4301052977 | MI |
National Provider Identifier
| NPI | 1023036563 |
|---|---|
| Provider Name | Mark G Kanitz |
| First Address | Chicago, IL 60689-5325 |
| Second Address | Grand Rapids, MI 49503-2560 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 15/09/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 930083516 | RAILROAD MEDICARE (01) | MI |
| F78884 | (02) | MI |
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.