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Organization

LAKELAND MEDICAL PRACTICES

Active
Other names
Southwestern Infectious Diease
Organization subpart
No

Provider details

NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 921-4315
Entity
Organization

Contact information

Practice address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-0900
(269) 408-0996
Mailing address
3950 HOLLYWOOD RD, SUITE 100, SAINT JOSEPH, MI 49085-9159
(269) 429-0900
(269) 408-0996

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301073475
MI

Other

Enumeration date
10/25/2013
Last updated
10/25/2013
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