Organization
PROMED HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD M MILLERMAIER MD, CMO (CHIEF MEDICAL OFFICER)
(269) 552-2922
Entity
Organization
Contact information
Practice address
1521 GULL RD, KALAMAZOO, MI 49048-1640
(269) 226-7000
Mailing address
5943 STADIUM DR, SUITE 3, KALAMAZOO, MI 49009-3016
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
12/05/2007
Last updated
12/05/2007
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