| Chpnh Tm Clinic Thornapple Kellog | |
|
3885 Bender Rd Middleville MI 49333-9273 | |
| (269) 795-4434 | |
| Not Available |
| Full Name | Chpnh Tm Clinic Thornapple Kellog |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3885 Bender Rd, Middleville, Michigan |
| Authorized Official Name and Position | Ryan Catignani (VP FINANCE) |
| Authorized Official Contact | 9475220008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chpnh Tm Clinic Thornapple Kellog 100 Michigan Ne St Mc845 Grand Rapids MI 49503-2560 Ph: (616) 486-6790 | Chpnh Tm Clinic Thornapple Kellog 3885 Bender Rd Middleville MI 49333-9273 Ph: (269) 795-4434 |
| NPI Number | 1679200208 |
|---|---|
| Provider Enumeration Date | 08/03/2022 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679200208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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