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Organization
THREE RIVERS HEALTH ENDOCRINOLOGY
Active
Organization
THREE RIVERS HEALTH ENDOCRINOLOGY
Active
Parent organization
THREE RIVERS HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH
Authorized official
WILLIAM RUSSELL (CEO/PRESIDENT)
(269) 273-9601
Entity
Organization
Contact information
Practice address
721 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
(269) 273-9611
Mailing address
721 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
(269) 273-9611
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
750020
MI
Other
Enumeration date
05/09/2012
Last updated
05/09/2012
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