| Tlc Kalamazoo | |
|
1350 W Centre Ave Ste. 110 Portage MI 49024-5361 | |
| (269) 329-1003 | |
| Not Available |
| Full Name | Tlc Kalamazoo |
|---|---|
| Speciality | Clinic/center |
| Location | 1350 W Centre Ave, Portage, Michigan |
| Authorized Official Name and Position | Brian L Andrew (SECRETARY) |
| Authorized Official Contact | 6365342300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tlc Kalamazoo 16305 Swingley Ridge Rd Ste. 300 Chesterfield MO 63017-1777 Ph: (636) 534-2300 | Tlc Kalamazoo 1350 W Centre Ave Ste. 110 Portage MI 49024-5361 Ph: (269) 329-1003 |
| NPI Number | 1710191960 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710191960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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