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Organization
LAKELAND MEDICAL PRACTICES
Active
Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Southwestern Infectious Diease
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 921-4315
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-0900
(269) 408-0996
Mailing address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-0900
(269) 408-0996
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301073475
MI
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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