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Organization
PROFESSIONAL HEALTH SERVICES, PLLC
Active
Organization
PROFESSIONAL HEALTH SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA BARANOWSKI-BIRKMEIER D.O. (PRINCIPAL)
(616) 891-2954
Entity
Organization
Contact information
Practice address
5900 BYRON CENTER AVE SW, WYOMING, MI 49519-9606
(616) 252-4642
Mailing address
PO BOX 580, CALEDONIA, MI 49316-0580
(616) 891-2954
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101011058
MI
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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