Organization
VAN BUREN/CASS DISTRICT HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFERY L ELLIOTT (HEALTH OFFICER/ADMINISTRATOR)
(269) 621-3143
Entity
Organization
Contact information
Practice address
302 SOUTH FRONT STREET, DOWAGIAC, MI 49047-1762
(269) 782-0064
(269) 782-0121
Mailing address
57418 COUNTY ROAD 681, SUITE A, HARTFORD, MI 49057-9421
(269) 621-3143
(269) 621-2725
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4304111
—
MI
05
—
4977200
—
MI
Enumeration date
09/28/2006
Last updated
01/09/2015
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