Goodhope Medical Group

NPI #1851699870 in Berrien Springs, Michigan

Provider Information

NPI Number: 1851699870
Entity Type: Organization
Organization Name: Goodhope Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: LAKE REGION MEDICAL CENTER
Primary Specialty: Contractor
Enumeration Date: Mar 1, 2011
Last Updated: Mar 1, 2011

Practice Location

Address: 8981 GEORGE AVE
City: Berrien Springs
State: Michigan
ZIP Code: 49103-1407
Phone: (269) 471-9436

Authorized Official

Name: DR. CHARLES MOSIMBWA, MD
Title: MEDICAL DIRECTOR
Phone: (269) 471-9436

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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