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Organization
SOUTH SHORE DRIVE DIRECT PRIMARY CARE PLLC
Active
Organization
SOUTH SHORE DRIVE DIRECT PRIMARY CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JO UECKER CMPE (CREDENTIALING SPECIALIST)
(694) 209-4042
Entity
Organization
Contact information
Practice address
395 S SHORE DR STE 307, BATTLE CREEK, MI 49014-5466
(269) 330-0084
Mailing address
395 S SHORE DR STE 307, BATTLE CREEK, MI 49014-5466
(269) 330-0084
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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