Organization
WEST SIDE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MALLEIS (OWNER/MANAGER)
(989) 732-4118
Entity
Organization
Contact information
Practice address
1371 W MAIN ST, GAYLORD, MI 49735-7401
(989) 732-4118
(989) 732-7137
Mailing address
1371 W MAIN ST, GAYLORD, MI 49735-7401
(989) 732-4118
(989) 732-7137
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/19/2006
Last updated
08/22/2020
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