Organization
LAKELAND MEDICAL PRACTICES
Active
Other names
Lakeland Ear Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 983-8127
Entity
Organization
Contact information
Practice address
2680 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-3002
(269) 982-3368
(269) 983-3238
Mailing address
2680 S CLEVELAND AVE, SAINT JOSEPH, MI 49085-3002
(269) 982-3368
(269) 983-3238
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
4301070920
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538397120
—
MI
Enumeration date
10/22/2014
Last updated
03/14/2016
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