Southwestern Medical Clinic Oc
NPI #1336334408 in Berrien Springs, Michigan
Provider Information
- NPI Number
- 1336334408
- Entity Type
- Organization
- Organization Name
- Southwestern Medical Clinic Oc
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 11, 2007
- Last Updated
- Sep 11, 2007
Practice Location
- Address
- 300 W FERRY ST
- City
- Berrien Springs
- State
- Michigan
- ZIP Code
- 49103-1109
- Phone
- (269) 473-2387
Authorized Official
- Name
- DIANE BAKER
- Title
- LAB DIRECTOR
- Phone
- (269) 473-2387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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