Most Relevant Information
Provider Data
| NPI Number: | 1003687146 |
| Provider Name: | VICTORIA K KRISKYWICZ CHW |
| Entity Type: | Individual |
| Taxonomy Code: | 172V00000X |
| Specialty: | Community Health Worker |
| License Number: |
Most Important Dates
| Enumeration Date: | 01/09/2024 |
| Last Updated: | 01/09/2024 |
Provider Practice Location
6051 FRANKFORT HWY STE 100
BENZONIA
MI
496169657
Practice Location Phone/Fax
| Phone: | 2318826229 |
| Fax: | 2318880143 |
Provider Mailing Location
6051 FRANKFORT HWY STE 100
BENZONIA
MI
496169657
Provider Mailing Phone/Fax
| Phone: | 2318826229 |
| Fax: | 2318880143 |