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715 S Health Pkwy Three Rivers MI 49093-8352 | |
(269) 273-8471 | |
(269) 273-9680 |
Full Name | |
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Speciality | Internal Medicine - Endocrinology, Diabetes & Metabolism |
Location | 715 S Health Pkwy, Three Rivers, Michigan |
Authorized Official Name and Position | William Russell (CEO/PRESIDENT) |
Authorized Official Contact | 2692739601 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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715 S Health Pkwy Three Rivers MI 49093-8352 Ph: (269) 273-8471 | 715 S Health Pkwy Three Rivers MI 49093-8352 Ph: (269) 273-8471 |
NPI Number | 1891054987 |
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Provider Enumeration Date | 05/09/2012 |
Last Update Date | 11/25/2014 |
Identifier | Type | State | Issuer |
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1891054987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 750020 (Michigan) | Primary |
Three Rivers Health Endocrinology Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 S Health Pkwy, Three Rivers, MI 49093 Phone: 269-278-1145 Fax: 269-273-9611 | |