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Organization
LAKELAND MEDICAL PRACTICES
Active
Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Edocrinology & Diabetes
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 284, SAINT JOSEPH, MI 49085-9159
(269) 408-1600
(269) 408-1602
Mailing address
3950 HOLLYWOOD RD, SUITE 284, SAINT JOSEPH, MI 49085-9159
(269) 408-1600
(269) 408-1602
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
4301088693
MI
261Q00000X
Clinic/Center
—
MI
Other
Enumeration date
12/18/2012
Last updated
01/02/2013
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