Organization
CHS HEALTH SERVICES
Active
Other names
Four Winds Casino Resort
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART CLARK (EXECUTIVE VP)
(703) 760-0700
Entity
Organization
Contact information
Practice address
11111 WILSON RD, NEW BUFFALO, MI 49117-8888
(269) 926-5259
(269) 926-5475
Mailing address
5500 MARYLAND WAY, STE 400, BRENTWOOD, TN 37027-4948
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/01/2010
Last updated
07/07/2016
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