Bronson Vicksburg Hospital, Inc. | |
13326 N Boulevard St Vicksburg MI 49097-1514 | |
(269) 649-9136 | |
(269) 341-8743 |
Full Name | Bronson Vicksburg Hospital, Inc. |
---|---|
Speciality | Psychologist |
Location | 13326 N Boulevard St, Vicksburg, Michigan |
Authorized Official Name and Position | Mary M Meitz (VICE PRESIDENT FINANCE) |
Authorized Official Contact | 2693417654 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bronson Vicksburg Hospital, Inc. 13326 N Boulevard St Vicksburg MI 49097-1514 Ph: (269) 649-9136 | Bronson Vicksburg Hospital, Inc. 13326 N Boulevard St Vicksburg MI 49097-1514 Ph: (269) 649-9136 |
NPI Number | 1619148640 |
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Provider Enumeration Date | 03/18/2008 |
Last Update Date | 12/21/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619148640 | NPI | - | NPPES |
680C913760 | Other | MI | BCBSM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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