Lakeland Primary Care | |
2500 Niles Ave. Suite 1 St. Joseph MI 49085 | |
(269) 983-3380 | |
(269) 985-0353 |
Full Name | Lakeland Primary Care |
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Speciality | Family Medicine |
Location | 2500 Niles Ave., St. Joseph, Michigan |
Authorized Official Name and Position | Morgan Vincent (MEDICAL STAFF COORDINATOR) |
Authorized Official Contact | 2699838282 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeland Primary Care 2500 Niles Ave. Suite 1 St. Joseph MI 49085 Ph: (269) 983-3380 | Lakeland Primary Care 2500 Niles Ave. Suite 1 St. Joseph MI 49085 Ph: (269) 983-3380 |
NPI Number | 1396239562 |
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Provider Enumeration Date | 06/20/2018 |
Last Update Date | 06/20/2018 |
Identifier | Type | State | Issuer |
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1396239562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |