Organization
SOUTH SHORE WOMEN'S HEALTH CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RACHAEL E PROCTOR M.D. (PRESIDENT)
(269) 428-2800
Entity
Organization
Contact information
Practice address
2690 S CLEVELAND AVENUE, ST. JOSEPH, MI 49085-3002
(269) 428-2800
(269) 428-7177
Mailing address
2690 S CLEVELAND AVENUE, ST. JOSEPH, MI 49085-3002
(269) 428-2800
(269) 428-7177
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
RP073123
MI
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
04/13/2007
Last updated
05/18/2011
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