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Organization
THREE RIVERS HEALTH
Active
Organization
THREE RIVERS HEALTH
Active
Other names
Three Rivers Health Internal Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM RUSSELL (CHIEF EXECUTIVE OFFICER)
(269) 278-1145
Entity
Organization
Contact information
Practice address
711 S HEALTH PKWY, SUITE 3, THREE RIVERS, MI 49093-9387
(269) 273-8557
(269) 279-6461
Mailing address
711 S HEALTH PKWY, SUITE L-7, THREE RIVERS, MI 49093-9387
(269) 273-9640
(269) 273-9746
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
750020
MI
Other
Enumeration date
12/02/2005
Last updated
05/24/2011
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