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KYLE STANLEY PLINE DO

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1487791448

Individual Registrant:
 KYLE STANLEY PLINE DO
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1042 S RAVENNA RD  RAVENNA, MI 49451-9583 US
Tel: 231-853-2519  Fax: 231-853-2838

Contact information for business:
1042 S RAVENNA RD  RAVENNA, MI 49451-9583 US
Tel: 231-853-2519  Fax: 231-853-2838

Registration Information:
NPI: 1487791448
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
MI5101016038

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
5184911MI05




HEALTH CARE JOBS MI - Page 1



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