Organization
PREMIER MEDICAL CARE P C
Active
Other names
Premier Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN L. BRACK (PRACTICE MANAGER)
(269) 388-6350
Entity
Organization
Contact information
Practice address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Mailing address
1535 GULL RD, SUITE 200, KALAMAZOO, MI 49048-1650
(269) 388-6350
(269) 388-4738
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
06/12/2006
Last updated
01/27/2009
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