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NPI Profile for KRISTINE L WIETHOFF in ESCANABA, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1184604308 |
|
| Status | Active | |
| Credentials | BS, CAC II | |
| Entity | Individual | |
| Enumeration date | 01/23/2006 | |
| Last updated | 07/08/2007 - About 19 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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KRISTINE L WIETHOFF
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KRISTINE L WIETHOFF, BS, CAC II