Organization
TRI-CITY MEDICAL CLINIC PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AURORA B MADANGUIT MD (OWNER)
(269) 468-7684
Entity
Organization
Contact information
Practice address
6633 RED ARROW HWY, COLOMA, MI 49038-8717
(269) 468-7684
(269) 468-7687
Mailing address
6633 RED ARROW HWY, COLOMA, MI 49038-8717
(269) 468-7684
(269) 468-7687
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
4301068832
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4341536
—
MI
Enumeration date
07/12/2006
Last updated
02/12/2008
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