Organization
DIABETES AND ENDOCRINOLOGY CENTER OF SOUTHWEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GEEGAN MIDDLETON (EXECUTIVE DIRECTOR)
(269) 684-0259
Entity
Organization
Contact information
Practice address
3950 HOLLYWOOD RD, SUITE 284, SAINT JOSEPH, MI 49085-9151
(269) 408-0990
(269) 408-0992
Mailing address
3950 HOLLYWOOD RD, SUITE 284, SAINT JOSEPH, MI 49085-9151
(269) 408-0990
(269) 408-0992
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301076224
MI
Other
Enumeration date
02/06/2006
Last updated
08/22/2020
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