| Careatc - Caledonia | |
|
7105 Broadmoor Ave Se Caledonia MI 49316-9510 | |
| (616) 604-4104 | |
| Not Available |
| Full Name | Careatc - Caledonia |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7105 Broadmoor Ave Se, Caledonia, Michigan |
| Authorized Official Name and Position | Keith Gucwa (DIRECTOR OF PURCHASING AND FACILITI) |
| Authorized Official Contact | 9187797416 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Careatc - Caledonia 7105 Broadmoor Ave Se Caledonia MI 49316-9510 Ph: (616) 604-4104 | Careatc - Caledonia 7105 Broadmoor Ave Se Caledonia MI 49316-9510 Ph: (616) 604-4104 |
| NPI Number | 1225582646 |
|---|---|
| Provider Enumeration Date | 08/15/2016 |
| Last Update Date | 08/15/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225582646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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