Organization
HEALTHCARE MIDWEST PC
Active
Organization
HEALTHCARE MIDWEST PC
Active
Other names
Pulmonary & Sleep Medicine A Division of HealthCare Midwest
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E MCKERNAN (ADMINISTRATOR)
(269) 373-4646
Entity
Organization
Contact information
Practice address
601 JOHN ST, SUITE M401, KALAMAZOO, MI 49007-5341
(269) 388-5864
(269) 388-5211
Mailing address
601 JOHN ST, SUITE M401, KALAMAZOO, MI 49007-5341
(269) 388-5864
(269) 388-5211
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290C913410
BCBSM GROUP PIN
MI
Enumeration date
07/17/2007
Last updated
08/11/2010
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