Organization
THREE RIVERS HEALTH
Active
Parent organization
THREE RIVERS HEALTH
Other names
Three Rivers Health Sleep Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH
Authorized official
WILLIAM RUSSELL (CEO/PRESIDENT)
(269) 273-9601
Entity
Organization
Contact information
Practice address
701 S HEALTH PKWY, THREE RIVERS, MI 49093-8352
(269) 278-1145
Mailing address
711 S HEALTH PKWY, SUITE L-7, THREE RIVERS, MI 49093-9387
(269) 273-9640
Taxonomy
Speciality
Code
Description
License number
State
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
750020
MI
Other
Enumeration date
04/23/2012
Last updated
04/23/2012
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