Provider Demographics
NPI:1699781443
Name:KIRCH, INGEBORG E (MD)
Entity type:Individual
Prefix:DR
First Name:INGEBORG
Middle Name:E
Last Name:KIRCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 5649
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48603-0649
Mailing Address - Country:US
Mailing Address - Phone:989-797-2400
Mailing Address - Fax:989-249-1035
Practice Address - Street 1:5161 CARDINAL PARK DR
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9435
Practice Address - Country:US
Practice Address - Phone:989-797-2400
Practice Address - Fax:989-249-1035
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AZ37088207W00000X
MI4301113672207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
042472266OtherTRICARE CHAMPUS
7241458OtherAETNA US HEALTHCARE
69793OtherHEALTHY START
9317749OtherCIGNA HEALTH PLAN
J28266OtherBLUE CROSS
042472266OtherTHREE RIVERS
0801554OtherEVERCARE
784039OtherMVP HEALTH CARE
2094514OtherFIRST HEALTH
2098466OtherMEDICAID WELFARE
042472226OtherPRIVATE HEALTHCARE SYSTEM
MA2098466Medicaid
90546OtherFALLON COMM HEALTH PLAN
042472266OtherHEALTHCARE VALUE MGMNT
AA15528OtherHARVARD PILGRIM HLTHCARE
042472266OtherONE HEALTH PLAN
69793OtherCHILDRENS MED SEC PLAN
A37828OtherMEDICARE B
9317749OtherCIGNA HEALTH PLAN
MAA37828Medicare ID - Type Unspecified