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117 S Broadway St Cassopolis MI 49031-1242 | |
(269) 445-0771 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 117 S Broadway St, Cassopolis, Michigan |
Authorized Official Name and Position | William Daam (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 W High St Dowagiac MI 49047-1943 Ph: () - | 117 S Broadway St Cassopolis MI 49031-1242 Ph: (269) 445-0771 |
NPI Number | 1023158235 |
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Provider Enumeration Date | 02/07/2007 |
Last Update Date | 08/07/2008 |
Identifier | Type | State | Issuer |
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1023158235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |