Visiting Home MD

NPI #1568602050 in Portage, Michigan

Provider Information

NPI Number
1568602050
Entity Type
Organization
Organization Name
Visiting Home MD
Primary Specialty
Physical Medicine & Rehabilitation
Enumeration Date
Feb 24, 2009
Last Updated
Feb 25, 2010

Practice Location

Address
4239 ISABELLE ST
ZIP Code
49024-1770
Phone
(269) 350-8463

Authorized Official

Name
DR. JUVENAL LIPANA CASTILLO, MD
Title
MANAGING MEMBER
Phone
(269) 350-8463

Specialties & Taxonomy Codes

Specialty
General Practice
Physical Medicine & Rehabilitation

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