Organization
THREE RIVERS HEALTH
Active
Parent organization
THREE RIVERS HEALTH
Other names
Three Rivers Health Women's Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH
Authorized official
WILLIAM RUSSELL (CHIEF EXECUTIVE OFFICER)
(269) 273-9601
Entity
Organization
Contact information
Practice address
711 S HEALTH PKWY, SUITE 1, THREE RIVERS, MI 49093-9387
(269) 273-6400
(269) 273-9639
Mailing address
711 S HEALTH PKWY, SUITE L-7, THREE RIVERS, MI 49093-9387
(269) 273-6400
(269) 273-9639
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
750020
MI
Other
Enumeration date
12/07/2005
Last updated
01/24/2012
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