# LAKELAND IMMEDIATE CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LAKELAND IMMEDIATE CARE CENTER
- **Other names:** Cass OB GYN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811389570
- **Legal business name:** LAKELAND IMMEDIATE CARE CENTER
- **Authorized official:** MARY GEEGAN MIDDLETON (EXCUTIVE DIRECTOR)
- **Authorized official phone:** (269) 445-3874

## Contact information

- **Practice address:** 60 N SAINT JOSEPH AVE, SUITE B, NILES, MI 49120-2296
- **Practice address phone:** (269) 683-0300
- **Practice address fax:** (269) 683-0398
- **Mailing address:** 60 N SAINT JOSEPH AVE, SUITE B, NILES, MI 49120-2296
- **Mailing address phone:** (269) 683-0300
- **Mailing address fax:** (269) 683-0398

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 4301104869 | MI | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/04/2015