Organization · Type 2 NPI

Lake Michigan Nephrology, L.l.c

Specialist · St. Joseph, MI

NPI number 1821201500 Active

Practice location

3800 Hollywood Rd Ste 104
St. Joseph, MI 49085-8511

Call (269) 428-0819 Map

Fax (269) 428-0841

Mailing address

3800 Hollywood Rd, Suite 104
St. Joseph, MI 49085-8510

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X4301079804 (MI)

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.

3 other providers at this address

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About NPI 1821201500

Lake Michigan Nephrology, L.l.c's National Provider Identifier is 1821201500, issued on May 8, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Joseph, MI. The record was last updated on Oct 5, 2023.