Organization
BRANCH PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHALAI ARIVOLI M.D (DIRECTOR)
(517) 924-1465
Entity
Organization
Contact information
Practice address
390 E CHICAGO ST, COLDWATER, MI 49036-2062
(517) 924-1465
(517) 924-1467
Mailing address
390 E CHICAGO ST, COLDWATER, MI 49036-2062
(517) 924-1465
(517) 924-1467
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
4301077145
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497130132
—
MI
Enumeration date
11/08/2016
Last updated
09/17/2021
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