Optimum Health Clinic, Pc

NPI 1275773343 - Internal Medicine - 207R00000X

NPI Details
NPI 1275773343
Enumeration Date 03/02/2009
Last Updated 03/02/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LAURIE L LAURIE
Position BILLING MANAGER
Phone (269) 673-2179
Fax
Practice Location
305 THOMAS ST
SUITE B
ALLEGAN MI, 49010-9158, US
Phone (269) 673-2179
Fax
Business Location
305 THOMAS ST
SUITE B
ALLEGAN MI, 49010-9158, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301073442
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According to our database, Optimum Health Clinic, Pc NPI is 1275773343, taxonomy code is 207R00000X and license number is 4301073442, license state is located at Michigan. Optimum Health Clinic, Pc physically located at 305 Thomas St, Allegan MI, 49010-9158. NPI Number 1033115704 has the healthcare provider type.

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1275773343 NPI number is provided on an as is basis without warranty of any kind. 1275773343 is maintained by the National Plan & Provider Enumeration System. The contents of Optimum Health Clinic, Pc are for informational purposes only.