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Organization

BRONSON PRACTICE MANAGEMENT

Active
Parent organization
BRONSON PRACTICE MANAGEMENT
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRONSON PRACTICE MANAGEMENT
Authorized official
MR. JAMES B FALAHEE (SVP LEGAL AFFAIRS, CLO)
(269) 341-6000
Entity
Organization

Contact information

Practice address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-6000
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8743

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary
207V00000X
Obstetrics & Gynecology Physician
208000000X
Pediatrics Physician
208600000X
Surgery Physician
363A00000X
Physician Assistant
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0C910950
BCBSM
MI
01
C30861
RAILROAD MEDICARE
MI
01
CA1068
RAILROAD MEDICARE
MI
01
CA4396
RAILROAD MEDICARE
MI
01
CB9054
RAILROAD MEDICARE
MI
01
CC3543
RAILROAD MEDICARE
MI
01
CN1148
RAILROAD MEDICARE
MI
Enumeration date
07/27/2006
Last updated
07/07/2014
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