institution
Kalamazoo Endo Center Llc
Ambulatory Surgical Clinic/Center in Portage, Michigan
NPI 1811933179

Kalamazoo Endo Center Llc is an Ambulatory Surgical Clinic/Center based in Jamison, MI and is specialized in Ambulatory Surgical. Kalamazoo Endo Center Llc practices in Portage, MI. The NPI Number for Kalamazoo Endo Center Llc is 1811933179 and holds a License No. 396833 (Michigan).

The current practice location address for Kalamazoo Endo Center Llc is 3300 Cooley Court, Portage, MI and can be reached out via phone at 269-321-3390 and via fax at 269-321-3392.

Location: 3300 Cooley Court, Portage, MI, 18929-1098
institution
Provider Profile Details
NPI Number
1811933179
Provider Name
Kalamazoo Endo Center Llc
Credential
Provider Entity Type
Organization
Address
3300 Cooley Court, Portage, MI, 18929-1098
Phone Number
269-321-3390
Fax Number
269-321-3392
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
396833 01 MI STATE LICENSE
40006 01 BCBSMI
23D1045430 01 CLIA CERTIFICATE WAIVER
70733 01 MI AAAHC ORGANIZATION NUMBER
institution
Provider Business Practice Location Address Details
Address
3300 Cooley Court
City
State
Zip
49024
Phone Number
269-321-3390
Fax Number
269-321-3392
person
Provider Business Mailing Address Details
Address
3300 Cooley Court
City
State
Zip
49024
Phone Number
269-321-3390
Fax Number
269-321-3392
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Ambulatory Surgical
Taxonomy
License No.
396833 (Michigan)
Definition
Definition to come...
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