Organization
WEST MICHIGAN IOM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINA COOK PH.D., M.S. (CEO/PRESIDENT)
(915) 522-1332
Entity
Organization
Contact information
Practice address
DC2 209 10TH AVE S, SUITE 232, NASHVILLE, TN 37203
(615) 712-9574
Mailing address
209 10TH AVE SOUTH, SUITE 232, NASHVILLE, TN 37203
(615) 712-9574
(615) 730-8475
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/02/2010
Last updated
09/02/2010
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