Organization
INTERCARE COMMUNITY HEALTH NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VELMA HENDERSHOTT (CEO/PRESIDENT)
(269) 427-7937
Entity
Organization
Contact information
Practice address
50 INDUSSTRIAL PARK ROAD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Mailing address
50 INDUSSTRIAL PARK ROAD, BANGOR, MI 49013-1246
(269) 427-7937
(269) 427-5180
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
11/27/2018
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