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Organization
AFF MEDICAL CENTER LNC
Active
Organization
AFF MEDICAL CENTER LNC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA F FAJARDO MD (OWNER)
(269) 463-4000
Entity
Organization
Contact information
Practice address
400 MEDICAL PARK DR, SUITE 200, WATERVLIET, MI 49098-9225
(269) 463-4000
(269) 463-7000
Mailing address
400 MEDICAL PARK DR, SUITE 200, WATERVLIET, MI 49098-9225
(269) 463-4000
(269) 463-7000
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301030837
MI
Other
Enumeration date
10/25/2006
Last updated
10/18/2007
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