Organization
COLDWATER SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C SENNISH M.D. (PRESIDENT)
(517) 279-4720
Entity
Organization
Contact information
Practice address
360 E CHICAGO ST, SUITE 100, COLDWATER, MI 49036-2086
(517) 279-4720
(517) 279-4882
Mailing address
360 E CHICAGO ST STE 100, PO BOX 629, COLDWATER, MI 49036-2086
(517) 279-4720
(517) 279-4882
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
4301043259
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3113803
—
MI
Enumeration date
11/06/2007
Last updated
11/06/2007
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