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117 S Broadway Street Cassopolis MI 49031-1242 | |
(269) 445-0771 | |
(269) 445-0939 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 117 S Broadway Street, Cassopolis, Michigan |
Authorized Official Name and Position | John Ryder (COO) |
Authorized Official Contact | 2697833080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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420 West High Street Dowagiac MI 49047-1943 Ph: (269) 783-3089 | 117 S Broadway Street Cassopolis MI 49031-1242 Ph: (269) 445-0771 |
NPI Number | 1619039682 |
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Provider Enumeration Date | 12/15/2006 |
Last Update Date | 04/29/2016 |
Identifier | Type | State | Issuer |
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1619039682 | NPI | - | NPPES |