Organization
LAKELAND GENERAL SURGERY
Active
Parent organization
LAKELAND REGIONAL HEALTH SYSTEM
Organization subpart
Yes
Provider details
NPI number
Legal business name
LAKELAND REGIONAL HEALTH SYSTEM
Authorized official
DENNIS MACK (VP OPERATIONS & FACILITY MANGEMENT)
(269) 983-8399
Entity
Organization
Contact information
Practice address
60 N SAINT JOSEPH AVE, SUITE E, NILES, MI 49120-2296
(269) 684-6696
(269) 684-5286
Mailing address
60 N SAINT JOSEPH AVE, SUITE E, NILES, MI 49120-2296
(269) 684-6696
(269) 684-5286
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
12/19/2007
Last updated
12/19/2007
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