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Organization

LAKELAND MEDICAL PRACTICES

Active
Other names
Stonegate Dermatology
Organization subpart
No

Provider details

NPI number
Authorized official
WARREN WHITE JR. (VICE PRESIDENT PHYSICIAN PRACTICES)
(269) 983-8507
Entity
Organization

Contact information

Practice address
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085-9137
(269) 556-6000
(269) 556-6020
Mailing address
3901 STONEGATE PARK, SUITE 300, SAINT JOSEPH, MI 49085-9137
(269) 556-6000
(269) 556-6020

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
5101020760
MI

Other

Enumeration date
09/27/2016
Last updated
09/27/2016
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