Organization
BRONSON AT HOME
Active
Other names
Ambulatory Infusion Services
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA EAST (SR VP CFO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
601 JOHN ST STE M431, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8913
Mailing address
601 JOHN ST # 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8913
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
183500000X
Pharmacist
—
—
1835P2201X
Ambulatory Care Pharmacist
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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