Integrated Physical Medicine Pllc

NPI #1790067015 in Rockford, Michigan

Provider Information

NPI Number: 1790067015
Entity Type: Organization
Organization Name: Integrated Physical Medicine Pllc
Primary Specialty: Family Medicine
Enumeration Date: Sep 13, 2011
Last Updated: Sep 13, 2011

Practice Location

Address: 6769 COURTLAND DR NE
Address 2: SUITE 100
City: Rockford
State: Michigan
ZIP Code: 49341-7242
Phone: (616) 863-9482

Authorized Official

Name: ERIK DANIEL STANTON
Title: GENERAL MANAGER
Phone: (616) 863-9482

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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