Organization
ELLA E M BROWN CHARITABLE CIRCLE
Active
Other names
Oaklawn Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE DESMET (FINANCIAL PLANNING & REIMBURSEMENT)
(269) 781-4271
Entity
Organization
Contact information
Practice address
300 B DR N, ALBION, MI 49224-8420
(517) 629-2134
Mailing address
200 N MADISON ST, MARSHALL, MI 49068-1143
(269) 781-4271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0A36020
BLUE CROSS BLUE SHIELD
MI
01
—
0A37669
BCBSM
MI
01
—
DA0352
RAILROAD MEDICARE GROUP
MI
Enumeration date
01/09/2007
Last updated
07/29/2010
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