Organization
GULL ROAD MEDICAL PRACTICE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN M CAMPBELL (OFFICE MANAGER)
(269) 381-7136
Entity
Organization
Contact information
Practice address
1820 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 381-7136
(269) 381-6665
Mailing address
1820 SHAFFER ST, KALAMAZOO, MI 49048-1604
(269) 381-7136
(269) 381-6665
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
01/23/2009
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