| Kalamazoo Valley Family Practice Pc | |
|
1821 Whites Rd Suite C Kalamazoo MI 49008-4805 | |
| (269) 381-7220 | |
| (269) 381-7224 |
| Full Name | Kalamazoo Valley Family Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1821 Whites Rd, Kalamazoo, Michigan |
| Authorized Official Name and Position | Wayne Francis Little (OWNER) |
| Authorized Official Contact | 2693817220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kalamazoo Valley Family Practice Pc 1821 Whites Rd Suite C Kalamazoo MI 49008-4805 Ph: (269) 381-7220 | Kalamazoo Valley Family Practice Pc 1821 Whites Rd Suite C Kalamazoo MI 49008-4805 Ph: (269) 381-7220 |
| NPI Number | 1326237611 |
|---|---|
| Provider Enumeration Date | 10/23/2007 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326237611 | NPI | - | NPPES |
| 4516768 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 4301044950 (Michigan) | Primary |
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