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711 S Health Pkwy Suite 4 Three Rivers MI 49093-9387 | |
(269) 278-1265 | |
(269) 273-2454 |
Full Name | |
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Speciality | Family Medicine - Adult Medicine |
Location | 711 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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711 S Health Pkwy Suite 4 Three Rivers MI 49093-9387 Ph: (269) 278-1265 | 711 S Health Pkwy Suite 4 Three Rivers MI 49093-9387 Ph: (269) 278-1265 |
NPI Number | 1508138785 |
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Provider Enumeration Date | 02/02/2012 |
Last Update Date | 02/02/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1508138785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207QA0505X | Family Medicine - Adult Medicine | 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 | |