Bronson Vicksburg Hospital, Inc.

NPI #1619148640 in Vicksburg, Michigan

Provider Information

NPI Number
1619148640
Entity Type
Organization
Organization Name
Bronson Vicksburg Hospital, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
BRONSON VICKSBURG HOSPITAL
Primary Specialty
Psychologist
Enumeration Date
Mar 18, 2008
Last Updated
Dec 21, 2010

Practice Location

Address
13326 N BOULEVARD ST
ZIP Code
49097-1514
Phone
(269) 649-9136

Authorized Official

Name
MS. MARY M MEITZ
Title
VICE PRESIDENT FINANCE
Phone
(269) 341-7654

Specialties & Taxonomy Codes

Specialty
Psychologist

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Organizations

Provider Name
Bronson Vicksburg Hospital

Part of Bronson Vicksburg Hospital

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