Healthcare Midwest PC

NPI #1376764241 in Kalamazoo, Michigan

Provider Information

NPI Number
1376764241
Entity Type
Organization
Organization Name
Healthcare Midwest PC
Subpart
Yes (part of a larger organization)
Parent Organization
HEALTHCARE MIDWEST, PC
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 1, 2007
Last Updated
Aug 11, 2010

Practice Location

Address
125 W WALNUT ST
ZIP Code
49007-5239
Phone
(269) 343-1381

Authorized Official

Name
MR. JAMES E MCKERNAN
Title
ADMINISTRATOR
Phone
(269) 373-4646

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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