Organization
HEALTHCARE MIDWEST PC
Active
Other names
HealthCare Midwest Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E MCKERNAN (ADMINISTRATOR)
(269) 373-4646
Entity
Organization
Contact information
Practice address
4613 W MAIN ST, SUITE C, KALAMAZOO, MI 49006-2645
(269) 488-8360
(269) 488-8359
Mailing address
4613 W MAIN ST, SUITE C, KALAMAZOO, MI 49006-2645
(269) 488-8360
(269) 488-8359
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7173604
AETNA PIN
—
Enumeration date
06/29/2006
Last updated
08/22/2020
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