Organization
KALAMAZOO VALLEY FAMILY PRACTICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WAYNE FRANCIS LITTLE MD (OWNER)
(269) 381-7220
Entity
Organization
Contact information
Practice address
1821 WHITES RD, SUITE C, KALAMAZOO, MI 49008-4805
(269) 381-7220
(269) 381-7224
Mailing address
1821 WHITES RD, SUITE C, KALAMAZOO, MI 49008-4805
(269) 381-7220
(269) 381-7224
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301044950
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4516768
—
MI
Enumeration date
10/23/2007
Last updated
10/16/2008
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