Organization
MY HEART PARTNERS PC
Active
Organization
MY HEART PARTNERS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY S KNAPP (COO)
(269) 428-4620
Entity
Organization
Contact information
Practice address
3078 NILES RD, SAINT JOSEPH, MI 49085-8608
(269) 428-4620
(269) 428-4625
Mailing address
3078 NILES RD, SAINT JOSEPH, MI 49085-8608
(269) 428-4620
(269) 428-4625
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
4301071519
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BE071519
BCBSM
MI
Enumeration date
09/10/2007
Last updated
09/10/2007
Update your record
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