Revolution Health PC
Clinic/Center, Primary Care in Sturgis, MI. Organization (NPI-2).
NPI number1366091670
StatusActive
Last updated in NPPESSep 9, 2019
Details
- NPI
- 1366091670
- Entity type
- Organization (NPI-2)
- Legal business name
- Revolution Health PC
- Organization subpart
- No
- Enumeration date
- Sep 9, 2019
- Last updated
- Sep 9, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
104 S Lakeview AveSturgis, MI 49091-1947
Phone 269-319-8850 · Fax 269-464-0101
Mailing address
104 S Lakeview AveSturgis, MI 49091-1947
Phone 269-319-8850 · Fax 269-464-0101
Authorized official
Steven John Klingler
Office Manager
2697161890
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