| Branch Pediatrics | |
|
390 E Chicago St Coldwater MI 49036-2062 | |
| (517) 924-1465 | |
| (517) 924-1467 |
| Full Name | Branch Pediatrics |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 390 E Chicago St, Coldwater, Michigan |
| Authorized Official Name and Position | Mehalai Arivoli (DIRECTOR) |
| Authorized Official Contact | 5179241465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Branch Pediatrics 390 E Chicago St Coldwater MI 49036-2062 Ph: (517) 924-1465 | Branch Pediatrics 390 E Chicago St Coldwater MI 49036-2062 Ph: (517) 924-1465 |
| NPI Number | 1457893430 |
|---|---|
| Provider Enumeration Date | 11/08/2016 |
| Last Update Date | 09/17/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457893430 | NPI | - | NPPES |
| 1497130132 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301077145 (Michigan) | Primary |
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