Promedica Corporation Of Michigan

NPI 1093840381 - Surgery - 208600000X

NPI Details
NPI 1093840381
Enumeration Date 02/23/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KIMBERLY KIMBERLY
Position CREDENTIALING ASST
Phone (517) 263-6464
Fax (517) 263-8223
Practice Location
777 KIMOLE LN
SUITE 220
ADRIAN MI, 49221-1478, US
Phone (517) 263-6464
Fax (517) 263-8223
Business Location
777 KIMOLE LN
SUITE 220
ADRIAN MI, 49221-1478, US
Phone (517) 263-6464
Fax (517) 263-8223
Toxanomy
Taxonomy Code 208600000X
License State Michigan
License Number =========
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According to our database, Promedica Corporation Of Michigan NPI is 1093840381, taxonomy code is 208600000X and license number is =========, license state is located at Michigan. Promedica Corporation Of Michigan physically located at 777 Kimole Ln, Adrian MI, 49221-1478. NPI Number 1033115704 has the healthcare provider type.

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1093840381 NPI number is provided on an as is basis without warranty of any kind. 1093840381 is maintained by the National Plan & Provider Enumeration System. The contents of Promedica Corporation Of Michigan are for informational purposes only.