Organization
INTERNAL MEDICINE ASSOCIATES OF OWOSSO, PC
Active
Organization
INTERNAL MEDICINE ASSOCIATES OF OWOSSO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY ANN MACAL RD, CDE (OFFICE MANAGER)
(989) 723-5540
Entity
Organization
Contact information
Practice address
300 HEALTH PARK DRIVE, SUITE 302, OWOSSO, MI 48867-1292
(989) 723-5540
Mailing address
300 HEALTH PARK DR., SUITE 302, OWOSSO, MI 48867-1292
(989) 723-5540
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ3840
RAILROAD MEDICARE
MI
Enumeration date
06/09/2006
Last updated
02/06/2013
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