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Organization
LAKELAND MEDICAL CENTER NILES
Active
Organization
LAKELAND MEDICAL CENTER NILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM J CALHOUN (VP FINANCE/CFO)
(269) 983-8300
Entity
Organization
Contact information
Practice address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 687-1428
Mailing address
31 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 687-1428
Taxonomy
Speciality
Code
Description
License number
State
3336I0012X
Institutional Pharmacy
Primary
5301000048
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2324135
NCPDP
—
Enumeration date
12/18/2006
Last updated
04/06/2018
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