Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Corewell Health Medical Group South
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN CATIGNANI (VP PROVIDER SERVICES)
(616) 486-6790
Entity
Organization
Contact information
Practice address
133 W MAIN ST, BENTON HARBOR, MI 49022-3607
(269) 408-2258
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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