Bronson Vicksburg Hospital, Inc.

NPI #1770597494 in Vicksburg, Michigan

Provider Information

NPI Number: 1770597494
Entity Type: Organization
Organization Name: Bronson Vicksburg Hospital, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: BRONSON VICKSBURG HOSPITAL
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 28, 2006
Last Updated: Dec 15, 2010

Practice Location

Address: 13326 N BOULEVARD ST
City: Vicksburg
State: Michigan
ZIP Code: 49097-1514
Phone: (269) 649-2321

Authorized Official

Name: MS. DENISE M BARTZ
Title: CONTRACT CREDENTIALING COORDINATOR
Phone: (269) 341-7806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Emergency Medicine	207P00000X	Primary

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