Organization
WESTERN MICHIGAN ENT PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNE LUCINA RHODEA (ADMINISTRATIVE SERVICES MANAGER)
(231) 398-9536
Entity
Organization
Contact information
Practice address
1806 E PARKDALE AVE, SUITE 3, MANISTEE, MI 49660-9363
(231) 398-9536
(231) 398-9541
Mailing address
1806 E PARKDALE AVE, SUITE 3, MANISTEE, MI 49660-9363
(231) 398-9536
(231) 398-9541
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/10/2006
Last updated
09/11/2009
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