Basic Information
Provider Information
NPI: 1851688733
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MURPHY
FirstName: KRISTI
MiddleName: MARIE
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 N CENTER RD STE 400
Address2:  
City: SAGINAW
State: MI
PostalCode: 486037920
CountryCode: US
TelephoneNumber: 2489140412
FaxNumber:  
Practice Location
Address1: 3400 N CENTER RD STE 400
Address2:  
City: SAGINAW
State: MI
PostalCode: 486037920
CountryCode: US
TelephoneNumber: 9897995600
FaxNumber: 9897997430
Other Information
ProviderEnumerationDate: 06/29/2011
LastUpdateDate: 04/19/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2085R0202X4301098899MIY Allopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology

No ID Information.


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