Midtown Family Practice

NPI #1235303181 in Benton Harbor, Michigan

Provider Information

NPI Number: 1235303181
Entity Type: Organization
Organization Name: Midtown Family Practice
Primary Specialty: Family Medicine
Enumeration Date: Apr 22, 2008
Last Updated: Apr 22, 2008

Practice Location

Address: 129 E MAIN ST
City: Benton Harbor
State: Michigan
ZIP Code: 49022-4409
Phone: (269) 927-3828

Authorized Official

Name: CHAR PUGH TALL
Title: OFFICE MANAGER
Phone: (269) 934-7750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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