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Organization

BATTLE CREEK ORAL AND MAXILLOFACIAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. WENDY H LEWIS (OFFICE)
(269) 965-1339
Entity
Organization

Contact information

Practice address
3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
(269) 965-1339
(269) 965-2281
Mailing address
3610 CAPITAL AVENUE SW, BATTLE CREEK, MI 49015
(269) 965-1339
(269) 965-2281

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
11052
MI
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
14976
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2582361
MI
05
3020670
MI
05
3020698
MI
05
4061917
MI
Enumeration date
12/17/2007
Last updated
12/17/2007
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