Organization · Type 2 NPI

Southwest Michigan Center for Orthopaedic and Sports Medicine P

Specialist · St. Joseph, MI

NPI number 1104913094 Active

Practice location

183 Peace Blvd
St. Joseph, MI 49085-9146

Call (269) 428-3500 Map

Fax (269) 429-6429

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

15 other providers at this address

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About NPI 1104913094

Southwest Michigan Center for Orthopaedic and Sports Medicine P's National Provider Identifier is 1104913094, issued on Oct 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Joseph, MI. The record was last updated on Apr 21, 2009.