NPI | 1043484322 |
---|---|
Doing Business As | LAKEVIEW FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | JOHN COLLINS Physician 269-969-6240 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI 5101007066) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2008-04-17 |