Red Arrow Family Practice
General Practice in Coloma, MI. Organization (NPI-2).
NPI number1457540908
StatusActive
Last updated in NPPESOct 22, 2007
Details
- NPI
- 1457540908
- Entity type
- Organization (NPI-2)
- Legal business name
- Red Arrow Family Practice
- Organization subpart
- No
- Enumeration date
- Oct 22, 2007
- Last updated
- Oct 22, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | 009859 | MI | Yes |
Practice location
6500 Red Arrow HwyColoma, MI 49038-8700
Phone 269-468-4100 · Fax 269-468-3334
Mailing address
6500 Red Arrow HwyColoma, MI 49038-8700
Phone 269-468-4100 · Fax 269-468-3334
Authorized official
Michael E Mayle
Owner
2694684100
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