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Organization
LAKELAND MEDICAL PRACRICES
Active
Organization
LAKELAND MEDICAL PRACRICES
Active
Other names
Corewell Health Medical Group South
Organization subpart
No
Provider details
NPI number
Authorized official
WHITNEY ECKHOFF (MGR)
(616) 486-5246
Entity
Organization
Contact information
Practice address
133 W MAIN ST, BENTON HARBOR, MI 49022-3607
(269) 687-1126
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/16/2024
Last updated
12/16/2024
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