Dowagiac Medical Associates Pc | |
400 W Division St Dowagiac MI 49047-1704 | |
(269) 782-2111 | |
(269) 782-9852 |
Full Name | Dowagiac Medical Associates Pc |
---|---|
Speciality | Internal Medicine |
Location | 400 W Division St, Dowagiac, Michigan |
Authorized Official Name and Position | James Lee Wierman (PRESIDENT) |
Authorized Official Contact | 2697822111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dowagiac Medical Associates Pc Po Box 378 Dowagiac MI 49047-0378 Ph: (269) 782-2111 | Dowagiac Medical Associates Pc 400 W Division St Dowagiac MI 49047-1704 Ph: (269) 782-2111 |
NPI Number | 1699838243 |
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Provider Enumeration Date | 12/18/2006 |
Last Update Date | 06/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699838243 | NPI | - | NPPES |
110A410240 | Other | MI | BLUE CROSS BLUE SHIELD OF MICHIGAN |
233904 | Other | MI | OSCAR |
111371059 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101005813 (Michigan) | Primary |
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