Southwestern Medical Clinic PC

NPI #1518022144 in Niles, Michigan

Provider Information

NPI Number: 1518022144
Entity Type: Organization
Organization Name: Southwestern Medical Clinic PC
Primary Specialty: Specialist
Enumeration Date: Dec 26, 2006
Last Updated: May 7, 2010

Practice Location

Address: 2002 S 11TH ST
City: Niles
State: Michigan
ZIP Code: 49120-4074
Phone: (269) 687-0200

Authorized Official

Name: MR. WARREN C WHITE JR.
Title: ADMINISTRATOR
Phone: (269) 471-1700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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