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Organization

PENNOCK HOSPITAL

Active
Parent organization
PENNOCK HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENNOCK HOSPITAL
Authorized official
MICHAEL KING (CONTROLLER)
(269) 948-3122
Entity
Organization

Contact information

Practice address
551 LINN ST, ALLEGAN, MI 49010-1595
(269) 945-9520
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
208600000X
Surgery Physician
Primary

Other

Enumeration date
04/24/2015
Last updated
10/01/2020
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