Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland General Surgery SJ
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN J WHITE JR. (VICE PRESIDENT OF PHYSICIAN PRACTIC)
(269) 983-8127
Entity
Organization
Contact information
Practice address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
Mailing address
2990 NILES RD, SAINT JOSEPH, MI 49085-8607
(269) 983-3368
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
4301406148
MI
Other
Enumeration date
01/12/2017
Last updated
01/12/2017
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