Healthcare Midwest PC

NPI #1093936999 in Kalamazoo, Michigan

Provider Information

NPI Number: 1093936999
Entity Type: Organization
Organization Name: Healthcare Midwest PC
Subpart: Yes (part of a larger organization)
Parent Organization: HEALTHCARE MIDWEST, PC
Primary Specialty: Internal Medicine
Enumeration Date: May 1, 2007
Last Updated: Aug 11, 2010

Practice Location

Address: 4613 W MAIN ST
Address 2: SUITE A
City: Kalamazoo
State: Michigan
ZIP Code: 49006-2645
Phone: (269) 488-8672

Authorized Official

Name: MR. JAMES E MCKERNAN
Title: ADMINISTRATOR
Phone: (269) 373-4646

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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