Benton Harbor Health Center Pllc

NPI #1528182656 in Benton Harbor, Michigan

Provider Information

NPI Number: 1528182656
Entity Type: Organization
Organization Name: Benton Harbor Health Center Pllc
Primary Specialty: Specialist
Enumeration Date: Mar 16, 2007
Last Updated: Feb 29, 2012

Practice Location

Address: 687 E EMPIRE AVE
Address 2: SUITE 101
City: Benton Harbor
State: Michigan
ZIP Code: 49022-4857
Phone: (269) 926-8535

Authorized Official

Name: DR. DON J. TYNES, M,D,
Title: CHIEF MEDICAL OFFICER
Phone: (269) 926-8535

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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