Organization
STAR HEALTH MULTI-SPECIALTY GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA A ROUSH RN BSN (VICE PRESIDENT CORPORATE OPERATIONS)
(269) 655-3000
Entity
Organization
Contact information
Practice address
451 HEALTH PARKWAY, PAW PAW, MI 49079
(269) 657-8300
(269) 657-8332
Mailing address
PO BOX 489, 451 HEALTH PARKWAY, PAW PAW, MI 49079
(269) 657-8300
(269) 657-8332
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/01/2006
Last updated
08/22/2020
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