Organization
LAKELAND MEDICAL PRACTICES
Active
Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Rheumatology
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 983-8304
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, 289, SAINT JOSEPH, MI 49085-9159
(269) 408-0990
(269) 408-0993
Mailing address
3950 HOLLYWOOD RD, 289, SAINT JOSEPH, MI 49085-9159
(269) 408-0990
(269) 408-0993
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
4301092597
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MI2051
MEDICARE GROUP #
MI
Enumeration date
06/08/2011
Last updated
03/14/2016
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