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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