Basic Information
| Provider Information | |||||||||
| NPI: | 1497097158 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOYLE | ||||||||
| FirstName: | KATHERINE | ||||||||
| MiddleName: | |||||||||
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| Credential: | D.O. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13801 15 MILE ROAD | ||||||||
| Address2: | |||||||||
| City: | STERLING HEIGHTS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 48312 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867579707 | ||||||||
| FaxNumber: | 5867579808 | ||||||||
| Practice Location | |||||||||
| Address1: | 13801 15 MILE RD | ||||||||
| Address2: | |||||||||
| City: | STERLING HEIGHTS | ||||||||
| State: | MI | ||||||||
| PostalCode: | 483124206 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5867579707 | ||||||||
| FaxNumber: | 5867579808 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2013 | ||||||||
| LastUpdateDate: | 03/04/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/04/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 5101019720 | MI | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.