| NPI | 1528132271 |
|---|---|
| Doing Business As | PARKSIDE MEDICAL |
| Entity Type | Organization |
| Authorized Contact | SHEKHAR C THAKUR President 269-565-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: MI 4301059115) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2023-03-07 |