Individual
MICHAEL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
801 HAZEN ST, STE. C, PAW PAW, MI 49079-2008
(269) 657-5574
(269) 657-6523
Mailing address
801 HAZEN ST, STE. C, PAW PAW, MI 49079-2008
(269) 657-5574
(269) 657-6523
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704173621
MI
Other
Enumeration date
05/10/2017
Last updated
05/10/2017
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