| Edison Lakes Urology | |
|
61 N Saint Joseph Ave Niles MI 49120-2207 | |
| (269) 262-0448 | |
| Not Available |
| Full Name | Edison Lakes Urology |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 61 N Saint Joseph Ave, Niles, Michigan |
| Authorized Official Name and Position | Kevin R Boyer (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5742963200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edison Lakes Urology Po Box 2968 Elkhart IN 46515-2968 Ph: (574) 296-3200 | Edison Lakes Urology 61 N Saint Joseph Ave Niles MI 49120-2207 Ph: (269) 262-0448 |
| NPI Number | 1831423284 |
|---|---|
| Provider Enumeration Date | 10/01/2009 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831423284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Integrated Home Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120 Phone: 269-479-3030 Fax: 269-479-3032 | |
George E. Drake, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S 5th St, Niles, MI 49120 Phone: 269-687-9607 | |
Douglas Tacket Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120 Phone: 269-684-5002 | |
Lakeland Ear Nose & Throat Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 300, Niles, MI 49120 Phone: 269-687-2910 Fax: 269-687-8770 | |
Lakeland General Surgery Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 100, Niles, MI 49120 Phone: 269-684-6696 Fax: 269-684-5286 | |
Lakeland Comprehensive Weight Loss Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 N Saint Joseph Ave, Suite 101, Niles, MI 49120 Phone: 269-687-4673 Fax: 269-687-1798 | |
Glenda M Gensolin Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |