| Coldwater Crossing Internal Medicine, Pllc. | |
|
327 W Chicago St Coldwater MI 49036-2805 | |
| (517) 278-8000 | |
| (517) 278-8007 |
| Full Name | Coldwater Crossing Internal Medicine, Pllc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 W Chicago St, Coldwater, Michigan |
| Authorized Official Name and Position | Jeffrey Russell (OWNER) |
| Authorized Official Contact | 5172788000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coldwater Crossing Internal Medicine, Pllc. 327 W Chicago St Coldwater MI 49036-2805 Ph: (517) 278-8000 | Coldwater Crossing Internal Medicine, Pllc. 327 W Chicago St Coldwater MI 49036-2805 Ph: (517) 278-8000 |
| NPI Number | 1841425022 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 09/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841425022 | NPI | - | NPPES |
| 114836462 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 6401009358 (Michigan) | Secondary |
| 207R00000X | Internal Medicine | 5101011799 (Michigan) | Primary |
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