Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Corewell Health Medical Group South
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE (V.P. LAKELAND PHYSICIAN PRACTICES)
(269) 983-8127
Entity
Organization
Contact information
Practice address
1234 NAPIER AVE, SAINT JOSEPH, MI 49085-2112
(269) 428-5007
(269) 428-2789
Mailing address
PO BOX 708, SAINT JOSEPH, MI 49085-0708
(269) 428-5007
(269) 428-2789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A10021
BLUE CROSS GROUP #
MI
05
—
1538397120
—
MI
01
—
OA10065
BCBS - NURSE PRACTIONER
MI
01
—
OA10080
NURSE MIDWIFE - BCBS
MI
01
—
OA10085
CLINICAL PSYCHOLIGIST
MI
01
—
OA10143
AUDIOLOGIST
MI
Enumeration date
06/23/2009
Last updated
12/17/2023
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