Organization
CARDIOLOGY SOUTHWEST, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE SHEARER (MEDICAL BILLING)
(269) 684-6777
Entity
Organization
Contact information
Practice address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384
Mailing address
61 N SAINT JOSEPH AVE, NILES, MI 49120-2207
(269) 684-6777
(269) 683-5384
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
JH009955
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060060536
RAILROAD MEDICARE
MI
01
—
0A11085
BLUE CROSS BLUE SHIELD
—
01
—
DG8877
RAILROAD MEDICARE GROUP
MI
01
—
P00057496
RAILROAD MEDICARE
MI
Enumeration date
10/16/2006
Last updated
04/22/2008
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