Provider Demographics
NPI:1215991096
Name:KAZMERS, ANDRIS (MD)
Entity type:Individual
Prefix:DR
First Name:ANDRIS
Middle Name:
Last Name:KAZMERS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:ANDRIS
Other - Middle Name:
Other - Last Name:KAZMERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:3290 WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:PETOSKEY
Mailing Address - State:MI
Mailing Address - Zip Code:49770-8694
Mailing Address - Country:US
Mailing Address - Phone:231-348-3800
Mailing Address - Fax:231-348-3804
Practice Address - Street 1:3250 WOODS WAY STE 9
Practice Address - Street 2:
Practice Address - City:PETOSKEY
Practice Address - State:MI
Practice Address - Zip Code:49770-7629
Practice Address - Country:US
Practice Address - Phone:231-881-9700
Practice Address - Fax:231-881-9698
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-17
Last Update Date:2021-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301041254208600000X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0B40185OtherBCN
MI0B40185OtherBCBSM
MIMI10219OtherMEDICARE PTAN
MIA06098Medicare UPIN
MI4346096Medicaid
MI0B41012OtherBCN