# SOUTHWESTERN MICHIGAN NEONATOLOGY, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962522771
- **Authorized official:** JOAN SHARDA M.D. (FINANCIAL OFFICER)
- **Authorized official phone:** (269) 341-6469

## Contact information

- **Practice address:** 601 JOHN ST, BOX 41, KALAMAZOO, MI 49007-5341
- **Practice address phone:** (269) 341-6469
- **Practice address fax:** (269) 341-6236
- **Mailing address:** 601 JOHN ST, BOX 41, KALAMAZOO, MI 49007-5341
- **Mailing address phone:** (269) 341-6469
- **Mailing address fax:** (269) 341-6236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4301042454 | MI | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4301042801 | MI | Yes |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4301046184 | MI | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4301048451 | MI | — |
| 2080N0001X | Neonatal-Perinatal Medicine Physician | 4301076137 | MI | — |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020