Organization
CRITICAL CARE PULMONARY MEDICINE, PC
Active
Organization
CRITICAL CARE PULMONARY MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY ELAINE ROBERTS V (PRACTICE MANAGER)
(269) 969-6100
Entity
Organization
Contact information
Practice address
363 FREMONT ST, SUITE 100, BATTLE CREEK, MI 49017-3389
(269) 969-6100
(269) 969-6102
Mailing address
363 FREMONT ST, SUITE 100, BATTLE CREEK, MI 49017-3389
(269) 969-6100
(269) 969-6102
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Enumeration date
05/27/2006
Last updated
09/30/2013
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