Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Stonegate Plactic Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN SERVICES)
(269) 983-8304
Entity
Organization
Contact information
Practice address
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085-9137
(269) 556-6000
(269) 556-6020
Mailing address
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085-9137
(269) 556-6000
(269) 556-6020
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
4301056980
MI
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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