Organization
BRONSON PRACTICE MANAGEMENT
Active
Parent organization
BRONSON PRACTICE MANAGEMENT
Other names
Bronson Practice Management Nurse Practitioners & Physician Assistants
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRONSON PRACTICE MANAGEMENT
Authorized official
MR. JAMES B FALAHEE (SVP LEGAL AFFAIRS, CLO)
(269) 341-6000
Entity
Organization
Contact information
Practice address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8143
Mailing address
601 JOHN ST, BOX 42, KALAMAZOO, MI 49007-5341
(269) 341-7806
(269) 341-8143
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
500C912770
BCBSM
MI
Enumeration date
07/23/2006
Last updated
07/07/2014
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