Southwest Michigan Center For Orthopaedic And Sports Medicine P in Saint Joseph - Specialist
Southwest Michigan Center For Orthopaedic And Sports Medicine P - NPI 1104913094
Southwest Michigan Center For Orthopaedic And Sports Medicine P is a Specialist in Saint Joseph, Michigan. Southwest Michigan Center For Orthopaedic And Sports Medicine P practices all healthcare services and medical treatments related to Specialist. The NPI Number for Southwest Michigan Center For Orthopaedic And Sports Medicine P is 1104913094. The last update date is 2009-04-21.
Southwest Michigan Center For Orthopaedic And Sports Medicine P's current location address is 183 Peace Blvd, Saint Joseph, Michigan. You can contact this provider via phone number 2694283500 and fax number 2694296429. The mailing address for Southwest Michigan Center For Orthopaedic And Sports Medicine P is 183 Peace Blvd, Saint Joseph, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southwest Michigan Center For Orthopaedic And Sports Medicine P |
|---|---|
| Address | 183 Peace Blvd, Saint Joseph, Michigan |
| Phone Number | 2694283500 |
| Fax Number | 2694296429 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Edwards J Kenneth |
| Credentials | M.D. |
| Telephone Number | 2694283500 |
NPI Number Detail
| NPI Number | 1104913094 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2009-04-21 |
Provider Mailing Address Detail
| Address | 183 Peace Blvd |
|---|---|
| City | Saint Joseph |
| State | Michigan (MI) |
| Post Code | 490859146 |
| Phone Number | 2694283500 |
| Fax Number | 2694296429 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Southwest Michigan Center For Orthopaedic And Sports Medicine P by the Centers for Medicare & Medicaid Services?
The Southwest Michigan Center For Orthopaedic And Sports Medicine P has been assigned the NPI (National Provider Identifier) 1104913094. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Southwest Michigan Center For Orthopaedic And Sports Medicine P's facilities are situated?
The facilities of Southwest Michigan Center For Orthopaedic And Sports Medicine P are physically located at the following address: 183 Peace Blvd, Saint Joseph, MI, 490859146.
What is the Southwest Michigan Center For Orthopaedic And Sports Medicine P's specialty and taxonomy code?
The Southwest Michigan Center For Orthopaedic And Sports Medicine P's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104913094 to Southwest Michigan Center For Orthopaedic And Sports Medicine P?
The Southwest Michigan Center For Orthopaedic And Sports Medicine P received its 1104913094 assignment from the Centers for Medicare & Medicaid Services on 2006-10-10.
When was the information pertaining to Southwest Michigan Center For Orthopaedic And Sports Medicine P most recently updated or revised?
The details related to Southwest Michigan Center For Orthopaedic And Sports Medicine P, including its address, specialty, and other relevant information, were last updated or revised on 2009-04-21.