Southwest Michigan Center for Orthopaedic and Sports Medicine P
NPI #1104913094 in Saint Joseph, Michigan
Provider Information
- NPI Number
- 1104913094
- Entity Type
- Organization
- Organization Name
- Southwest Michigan Center for Orthopaedic and Sports Medicine P
- Primary Specialty
- Specialist
- Enumeration Date
- Oct 10, 2006
- Last Updated
- Apr 21, 2009
Practice Location
- Address
- 183 PEACE BLVD
- City
- Saint Joseph
- State
- Michigan
- ZIP Code
- 49085-9146
- Phone
- (269) 428-3500
Authorized Official
- Name
- DR. KENNETH J EDWARDS, M.D.
- Title
- MANAGING PARTNER
- Phone
- (269) 428-3500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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