Organization
LAKELAND MEDICAL PRACTICES
Active
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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