Organization
SOUTHWESTERN MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN C WHITE JR. (ADMINISTRATOR)
(269) 471-1700
Entity
Organization
Contact information
Practice address
2002 S 11TH ST, NILES, MI 49120-4074
(269) 687-0200
(269) 684-0199
Mailing address
8008 M-139, BERRIEN SPRINGS, MI 49103
(269) 471-1700
(269) 471-1975
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/26/2006
Last updated
05/07/2010
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