Provider Demographics
NPI:1568468882
Name:ALGUIRE, KATHRYN B (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:B
Last Name:ALGUIRE
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Gender:F
Credentials:MD
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Mailing Address - Street 1:5800 FOREMOST DR SE STE 300
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-7062
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6425 S HARVEY ST
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTON SHORES
Practice Address - State:MI
Practice Address - Zip Code:49444-9739
Practice Address - Country:US
Practice Address - Phone:231-737-3469
Practice Address - Fax:231-737-4548
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-03-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4301084563207RX0202X, 207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIP00314340OtherRR MEDICARE
MII20292Medicare UPIN
MIM08620015Medicare PIN