Careatc - Caledonia

NPI #1225582646 in Caledonia, Michigan

Provider Information

NPI Number
1225582646
Entity Type
Organization
Organization Name
Careatc - Caledonia
Primary Specialty
Clinic/Center - Primary Care
Enumeration Date
Aug 15, 2016
Last Updated
Aug 15, 2016

Practice Location

Address
7105 BROADMOOR AVE SE
ZIP Code
49316-9510
Phone
(616) 604-4104

Authorized Official

Name
KEITH GUCWA
Title
DIRECTOR OF PURCHASING AND FACILITI
Phone
(918) 779-7416

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care

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