| Wattles Park Family Practice | |
|
1125 Michigan Ave E Suite 5 Battle Creek MI 49014-6832 | |
| (269) 969-4656 | |
| (269) 969-6085 |
| Full Name | Wattles Park Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1125 Michigan Ave E, Battle Creek, Michigan |
| Authorized Official Name and Position | Barb C Vanhaitsma (PRACTICE MANAGER) |
| Authorized Official Contact | 2699694656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wattles Park Family Practice 1125 Michigan Ave E Suite 5 Battle Creek MI 49014-6832 Ph: (269) 969-4656 | Wattles Park Family Practice 1125 Michigan Ave E Suite 5 Battle Creek MI 49014-6832 Ph: (269) 969-4656 |
| NPI Number | 1104922863 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 01/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104922863 | NPI | - | NPPES |
| 4227952 | Medicaid | MI | |
| 4635366 | Medicaid | MI | |
| 4300678 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 4301083010 (Michigan) | Primary |
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