Organization
KALAMAZOO CARDIOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN L PECK MD (PRESIDENT)
(269) 381-3521
Entity
Organization
Contact information
Practice address
420 W HIGH ST, DOWAGIAC, MI 49047-1943
(269) 783-3017
Mailing address
1535 GULL RD, SUITE 205, KALAMAZOO, MI 49048-1650
(269) 381-3521
(269) 381-4703
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CJ7867
RAILROAD MEDICARE
MI
Enumeration date
11/30/2006
Last updated
02/19/2008
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