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Organization

AMBULATORY UNITED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PRISCILLA K MAHAR COO (CHIEF OPERATING OFFICER)
(616) 225-6313
Entity
Organization

Contact information

Practice address
421 S BALDWIN ST, GREENVILLE, MI 48838-2102
(616) 225-8667
(616) 225-8677
Mailing address
PO BOX 75, 300 N PATTERSON, REED CITY, MI 49677-0075
(231) 832-8509
(231) 832-1319

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
590060
MI

Other

Enumeration date
01/22/2010
Last updated
01/22/2010
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