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Individual

LISA M FINK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
800 M-139, BENTON HARBOR, MI 49022
(269) 927-5400
(269) 927-5493
Mailing address
50 INDUSTRIAL PARK DRIVE, BANGOR, MI 49013
(269) 427-7937
(269) 427-5180

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301075586
MI
208000000X
Pediatrics Physician
4301075586
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4231356
MI
Enumeration date
06/11/2006
Last updated
06/09/2011
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