John Street Clinic PC

NPI #1033253133 in Lake City, Michigan

Provider Information

NPI Number
1033253133
Entity Type
Organization
Organization Name
John Street Clinic PC
Primary Specialty
Internal Medicine
Enumeration Date
Feb 20, 2007
Last Updated
Aug 5, 2010

Practice Location

Address
112 E JOHN ST
ZIP Code
49651
Phone
(231) 839-4359

Authorized Official

Name
SOTERO M URETA, M.D.
Title
OWNER
Phone
(231) 839-4359

Specialties & Taxonomy Codes

Specialty
Pediatrics
Internal Medicine

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