Organization
AMBULATORY CARE SOLUTIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EARNEST (CEO)
(574) 299-4847
Entity
Organization
Contact information
Practice address
5735 S IRONWOOD RD, SOUTH BEND, IN 46614-9668
(574) 299-4847
Mailing address
2409 JEFFREY LN, NILES, MI 49120-7706
(269) 684-8779
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
07/16/2007
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