Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Family Care of Coloma Watervliet
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE CROCKER (DIRECTOR)
(269) 687-1152
Entity
Organization
Contact information
Practice address
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-4100
(269) 468-3334
Mailing address
6559 PAW PAW AVE, COLOMA, MI 49038-8805
(269) 468-4100
(269) 468-3334
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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