is a Sleep Medicine in Kalamazoo, Michigan. practices all healthcare services and medical treatments related to Sleep Medicine. The NPI Number for is 1124238654. The last update date is .
's current location address is 1535 Gull Rd Ste 130, Kalamazoo, Michigan. You can contact this provider via phone number 2693451161. The mailing address for is 1535 Gull Rd Ste 130, Kalamazoo, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 1535 Gull Rd Ste 130, Kalamazoo, Michigan |
| Phone Number | 2693451161 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1124238654 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 1535 Gull Rd Ste 130 |
|---|---|
| City | Kalamazoo |
| State | Michigan (MI) |
| Post Code | 490481659 |
| Phone Number | 2693451161 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sleep Medicine |
|---|---|
| Taxonomy | 207Rs0012X |
| Licence No | 4301083451 |
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Definition: An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep speciali |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1124238654 | MI | NPI | |
| 1407827900 | MI | NPI NUMBER FOR THE GROUP PRACT | |
| 1124238654 | MI | -- | |
| 700F510150 | MI | BLUE CROSS |
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