Lake Country Health Alliance

NPI #1134310022 in Sturgis, Michigan

Provider Information

NPI Number: 1134310022
Entity Type: Organization
Organization Name: Lake Country Health Alliance
Subpart: Yes (part of a larger organization)
Parent Organization: LAKE COUNTRY UROLOGY CLINIC
Primary Specialty: Pediatrics
Enumeration Date: Aug 6, 2007
Last Updated: Aug 6, 2007

Practice Location

Address: 17 VINEWOOD AVE
City: Sturgis
State: Michigan
ZIP Code: 49091-2375
Phone: (269) 651-4708

Authorized Official

Name: MARIANO ORCA, MD
Title: MD
Phone: (269) 651-4708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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