| Integrated Physical Medicine Pllc | |
|
6769 Courtland Dr Ne Suite 100 Rockford MI 49341-7242 | |
| (616) 863-9482 | |
| (616) 863-9486 |
| Full Name | Integrated Physical Medicine Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 6769 Courtland Dr Ne, Rockford, Michigan |
| Authorized Official Name and Position | Erik Daniel Stanton (GENERAL MANAGER) |
| Authorized Official Contact | 6168639482 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Physical Medicine Pllc 6769 Courtland Dr Ne Suite 100 Rockford MI 49341-7242 Ph: (616) 863-9482 | Integrated Physical Medicine Pllc 6769 Courtland Dr Ne Suite 100 Rockford MI 49341-7242 Ph: (616) 863-9482 |
| NPI Number | 1790067015 |
|---|---|
| Provider Enumeration Date | 09/13/2011 |
| Last Update Date | 09/13/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790067015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301059449 (Michigan) | Primary |
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