Organization
LAKELAND PHYSICIAN CARE NETWORK
Active
Parent organization
FOUR FLAGS HEALTH VENTURES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOUR FLAGS HEALTH VENTURES
Authorized official
DENNIS MACK (V.P. OPERATIONS & FACILITY MANAGEME)
(269) 983-8399
Entity
Organization
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 684-0259
(269) 684-0189
Mailing address
PO BOX 458, NILES, MI 49120-0458
(269) 684-0259
(269) 684-0189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/13/2008
Last updated
05/13/2008
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