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200 N Maple St Fennville MI 49408-8478 | |
(269) 561-8761 | |
(269) 686-5438 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 200 N Maple St, Fennville, Michigan |
Authorized Official Name and Position | Marina Houghton (CFO) |
Authorized Official Contact | 2692264800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1717 Shaffer Street, Suite 002 Kalamazoo MI 49048 Ph: () - | 200 N Maple St Fennville MI 49408-8478 Ph: (269) 561-8761 |
NPI Number | 1861979502 |
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Provider Enumeration Date | 07/25/2018 |
Last Update Date | 05/31/2023 |
Identifier | Type | State | Issuer |
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1861979502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |