Organization
INTERNAL MEDICINE ASSOCIATES
Active
Other names
Internal Medicine Associates of Barry County, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GEORGE WILDERN M.D. (OWNER)
(269) 945-2419
Entity
Organization
Contact information
Practice address
1005 W GREEN ST, SUITE 301, HASTINGS, MI 49058-1712
(269) 945-2419
(269) 945-0357
Mailing address
1005 W GREEN ST, SUITE 301, HASTINGS, MI 49058-1712
(269) 945-2419
(269) 945-0357
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1340544
—
MI
01
—
CN0332
PALMETTO GBA RAILROAD
MI
Enumeration date
11/22/2006
Last updated
12/14/2010
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