Organization
OPUS MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN N DALLAS M.D. (OWNER/PRESIDENT)
(269) 383-6789
Entity
Organization
Contact information
Practice address
3601 S 9TH ST, KALAMAZOO, MI 49009-9538
(269) 383-6789
(269) 383-6767
Mailing address
3601 S 9TH ST, KALAMAZOO, MI 49009-9538
(269) 383-6789
(269) 383-6767
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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