Michael Kittok
NPI #1245876796 in Coon Rapids, Minnesota
Provider Information
- NPI Number
- 1245876796
- Entity Type
- Individual
- Name
- Michael Kittok
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Nov 19, 2019
- Last Updated
- Dec 22, 2022
Practice Location
- Address
- 11475 ROBINSON DR NW
- City
- Coon Rapids
- State
- Minnesota
- ZIP Code
- 55433-7432
- Phone
- (763) 587-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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