Organization
COLON MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R VEGA M.D. (OWNER)
(269) 432-3221
Entity
Organization
Contact information
Practice address
121 FRANKLIN ST, COLON, MI 49040
(269) 432-3221
(269) 432-3120
Mailing address
121 E FRANKLIN ST, COLON, MI 49040-9363
(269) 432-3221
(269) 432-3120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
LV080959
MI
Other
Enumeration date
06/29/2006
Last updated
03/18/2008
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