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Organization
RAPPHA MEDICAL CENTER, P.L.L.C.
Active
Organization
RAPPHA MEDICAL CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHERRELL A O'DONNELL D.O. (PHYSICIAN/OWNER)
(269) 408-1777
Entity
Organization
Contact information
Practice address
3911 STONEGATE PARK DR, SAINT JOSEPH, MI 49085
(269) 408-1777
(269) 408-1755
Mailing address
3911 STONEGATE PARK DR, SAINT JOSEPH, MI 49085
(269) 408-1777
(269) 408-1755
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101014079
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114507301
—
MI
01
—
1151101075
BCBS
MI
Enumeration date
07/24/2006
Last updated
06/04/2021
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