Organization
LAKELAND HOUSECALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS MACK (V P OPERATIONS & FACILITY)
(269) 983-8399
Entity
Organization
Contact information
Practice address
122 GRANT ST, NILES, MI 49120-2281
(269) 985-4401
(269) 684-0189
Mailing address
122 GRANT ST, NILES, MI 49120-2281
(269) 985-4401
(269) 684-0189
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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