Pennock Hospital
NPI #1275999286 in Lake Odessa, Michigan
Provider Information
- NPI Number
- 1275999286
- Entity Type
- Organization
- Organization Name
- Pennock Hospital
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PENNOCK HOSPITAL
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 6, 2016
- Last Updated
- May 10, 2016
Practice Location
- Address
- 4294 LAUREL DR
- City
- Lake Odessa
- State
- Michigan
- ZIP Code
- 48849-8430
- Phone
- (616) 374-7660
Authorized Official
- Name
- ROBERT DAVIS
- Title
- VP PENNOCK PHYSICIAN NETWORK
- Phone
- (269) 945-1220
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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