Promed Healthcare

NPI 1013926997 - Obstetrics & Gynecology - 207VG0400X

NPI Details
NPI 1013926997
Enumeration Date 08/07/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name EDWARD M EDWARD
Position CMO
Phone (269) 329-0944
Fax
Practice Location
8001 ANGLING RD
PORTAGE MI, 49024-7422, US
Phone (269) 329-0944
Fax
Business Location
5943 STADIUM DR
STE 3
KALAMAZOO MI, 49009-3016, US
Phone
Fax
Toxanomy
Taxonomy Code 207VG0400X
License State
License Number
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According to our database, Promed Healthcare NPI is 1013926997, taxonomy code is 207VG0400X Promed Healthcare physically located at 8001 Angling Rd, Portage MI, 49024-7422. NPI Number 1033115704 has the healthcare provider type.

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1013926997 NPI number is provided on an as is basis without warranty of any kind. 1013926997 is maintained by the National Plan & Provider Enumeration System. The contents of Promed Healthcare are for informational purposes only.