Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS S DAUGHERTY (CEO)
(231) 592-4205
Entity
Organization
Contact information
Practice address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 796-8691
(231) 592-4494
Mailing address
605 OAK ST, BIG RAPIDS, MI 49307-2048
(231) 796-8691
(231) 592-4494
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
540030
MI
Other
Enumeration date
09/21/2011
Last updated
09/21/2011
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