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1541 Gull Rd Suite 100 Kalamazoo MI 49048-1639 | |
| (269) 381-7380 | |
| (269) 341-4562 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1541 Gull Rd, Kalamazoo, Michigan |
| Authorized Official Name and Position | Thomas C Dunne (DIRECTOR) |
| Authorized Official Contact | 2693817380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1541 Gull Rd Suite 100 Kalamazoo MI 49048-1639 Ph: (269) 381-7380 | 1541 Gull Rd Suite 100 Kalamazoo MI 49048-1639 Ph: (269) 381-7380 |
| NPI Number | 1316994577 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316994577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 6301009200 (Michigan) | Primary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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