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Organization
WESTERN MICHIGAN UNIVERSITY UNIFIED CLINICS
Active
Organization
WESTERN MICHIGAN UNIVERSITY UNIFIED CLINICS
Active
Other names
CHARLES VAN RIPER SPEECH, LANGUAGE & HEARING CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL SUNDBERG (DIRECTOR)
(269) 387-7005
Entity
Organization
Contact information
Practice address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-8047
(269) 387-7026
Mailing address
1000 OAKLAND DR FL 3, KALAMAZOO, MI 49008-1282
(269) 387-8047
(269) 387-7026
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155811
—
MI
05
—
40 4702665
—
MI
01
—
46 31868
UNITED HEALTH CARE
MI
01
—
4631868
IBA INSURANCE
MI
01
—
640C926130
TC BLUE CARE NETWORK
MI
Enumeration date
11/28/2006
Last updated
04/02/2014
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