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Organization

THE DOCTORS GROUP, PC

Active
Other names
Wattles Park Family Practice
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARB C VANHAITSMA CMA (PRACTICE MANAGER)
(269) 969-4656
Entity
Organization

Contact information

Practice address
1125 MICHIGAN AVE E, SUITE 5, BATTLE CREEK, MI 49014-6832
(269) 969-4656
(269) 969-6085
Mailing address
1125 MICHIGAN AVE E, SUITE 5, BATTLE CREEK, MI 49014-6832
(269) 969-4656
(269) 969-6085

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301083010
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4227952
MI
05
4300678
MI
05
4635366
MI
Enumeration date
09/16/2006
Last updated
01/09/2008
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