Organization
INDUSTRIAL MEDICINE OF SOUTHWEST MICHIGAN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D MEYER (PRESIDENT)
(269) 279-6700
Entity
Organization
Contact information
Practice address
16587 ENTERPRISE DR, THREE RIVERS, MI 49093-7902
(269) 279-6700
(269) 279-9740
Mailing address
16587 ENTERPRISE DR, THREE RIVERS, MI 49093-7902
(269) 279-6700
(269) 279-9740
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30727
BCBS FACILITY #
MI
Enumeration date
05/13/2006
Last updated
08/22/2020
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