Organization
PREVENTATIVE HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN A OLDHAM RD (OWNER)
(269) 325-4115
Entity
Organization
Contact information
Practice address
G3317 BEECHER RD, FLINT, MI 48532-3615
(810) 720-0800
Mailing address
G3317 BEECHER RD, FLINT, MI 48532-3615
(810) 720-0800
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
86000710
MI
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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