Organization
SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDIC AND SPORTS MEDICINE P
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH J EDWARDS M.D. (MANAGING PARTNER)
(269) 428-3500
Entity
Organization
Contact information
Practice address
183 PEACE BLVD, SAINT JOSEPH, MI 49085-9146
(269) 428-3500
(269) 429-6429
Mailing address
183 PEACE BLVD, SAINT JOSEPH, MI 49085-9146
(269) 428-3500
(269) 429-6429
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/10/2006
Last updated
04/21/2009
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