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Organization

BROOKSIDE BATTLE CREEK ASSOCIATES PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN G GIRARDOT M.D. (PHYSICIAN)
(269) 979-6425
Entity
Organization

Contact information

Practice address
215 E ROOSEVELT AVE, BATTLE CREEK, MI 49037-2828
(269) 969-6126
(269) 969-6136
Mailing address
215 E ROOSEVELT AVE, BATTLE CREEK, MI 49037-2828
(269) 969-6126
(269) 969-6136

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301023701
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4619602
MI
Enumeration date
12/17/2007
Last updated
08/22/2008
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