Organization
BRANCH INTERNAL MEDICINE CONSULTANTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCOS RODRIGUEZ M.D. (PRESIDENT)
(517) 279-0248
Entity
Organization
Contact information
Practice address
358 E CHICAGO ST, COLDWATER, MI 49036-2072
(517) 523-3695
Mailing address
PO BOX 187, HILLSDALE, MI 49242-0187
(517) 523-3695
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MR087022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1101210242
BCBSM
MI
05
—
4833907
—
MI
Enumeration date
08/24/2007
Last updated
12/20/2010
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