| |
42 N. St. Joseph Ave. Suite 201 Niles MI 49120-2208 | |
(269) 687-0808 | |
(269) 687-0811 |
Full Name | |
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Speciality | Clinic/center |
Location | 42 N. St. Joseph Ave., Niles, Michigan |
Authorized Official Name and Position | Janice Crocker (DIRECTOR) |
Authorized Official Contact | 2696871152 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6416 Deans Hill Road Berrien Center MI 49102-9750 Ph: (269) 471-7741 | 42 N. St. Joseph Ave. Suite 201 Niles MI 49120-2208 Ph: (269) 687-0808 |
NPI Number | 1972821460 |
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Provider Enumeration Date | 05/10/2010 |
Last Update Date | 08/29/2012 |
Identifier | Type | State | Issuer |
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1972821460 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Integrated Home Physicians Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 423 Sycamore St Ste 103, Niles, MI 49120 Phone: 269-479-3030 Fax: 269-479-3032 | |
George E. Drake, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 S 5th St, Niles, MI 49120 Phone: 269-687-9607 | |
Douglas Tacket Do Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave, Suite G, Niles, MI 49120 Phone: 269-684-5002 | |
Glenda M Gensolin Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 N Saint Joseph Ave Ste C2, Niles, MI 49120 Phone: 269-683-0330 Fax: 269-684-0400 |