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1045 E Front St Suite A Buchanan MI 49107-8474 | |
(269) 695-5540 | |
(269) 695-0412 |
Full Name | |
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Speciality | Family Medicine |
Location | 1045 E Front St, Buchanan, Michigan |
Authorized Official Name and Position | Warren White (VICE PRESIDENT PHYSICIAN PRACTICES) |
Authorized Official Contact | 2699838304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1045 E Front St Suite A Buchanan MI 49107-8474 Ph: (269) 695-5540 | 1045 E Front St Suite A Buchanan MI 49107-8474 Ph: (269) 695-5540 |
NPI Number | 1639520851 |
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Provider Enumeration Date | 06/29/2016 |
Last Update Date | 06/29/2016 |
Identifier | Type | State | Issuer |
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1639520851 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 4301062519 (Michigan) | Primary |