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406 N State St Gobles MI 49055-9717 | |
(269) 628-2196 | |
(269) 628-2363 |
Full Name | |
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Speciality | Family Medicine |
Location | 406 N State St, Gobles, Michigan |
Authorized Official Name and Position | Linda I Odell (OFFICE MANAGER) |
Authorized Official Contact | 2696286086 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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406 N State St Po Box 280 Gobles MI 49055-9717 Ph: (269) 628-2196 | 406 N State St Gobles MI 49055-9717 Ph: (269) 628-2196 |
NPI Number | 1962507608 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1962507608 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |