Organization
MATCH-E-BE-NASH-SHE-WISH BAND OF POTTAWATOMI INDIANS
Active
Other names
Gun Lake Tribe
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY WESAW (HEALTH DIRECTOR)
(269) 397-1760
Entity
Organization
Contact information
Practice address
2880 MISSION DR, SHELBYVILLE, MI 49344-9580
(269) 397-1760
(269) 397-1763
Mailing address
2880 MISSION DRIVE, SHELBYVILLE, MI 49344
(269) 397-1760
(269) 397-1763
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2011
Last updated
05/15/2025
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