Four Winds Casino Resort | |
11111 Wilson Rd New Buffalo MI 49117-8888 | |
(269) 926-5259 | |
(269) 926-5475 |
Full Name | Four Winds Casino Resort |
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Speciality | General Practice |
Location | 11111 Wilson Rd, New Buffalo, Michigan |
Authorized Official Name and Position | Stuart Clark (EXECUTIVE VP) |
Authorized Official Contact | 7037600700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Four Winds Casino Resort 5500 Maryland Way Ste 400 Brentwood TN 37027-4948 Ph: () - | Four Winds Casino Resort 11111 Wilson Rd New Buffalo MI 49117-8888 Ph: (269) 926-5259 |
NPI Number | 1629390950 |
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Provider Enumeration Date | 03/01/2010 |
Last Update Date | 07/07/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629390950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
New Buffalo Medical Center Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 225 S Whittaker St, New Buffalo, MI 49117 Phone: 269-469-0202 Fax: 269-469-7330 |