GREATER NILES CARDIOLOGY PC
Osteopathic Medicine at Saint Joseph Ave, Niles, MI

License number
Michigan 4301079120
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: TRACY L FORTUNE
Title: OFFICE MANAGER
Phone: (269) 687-9575
Address
Address
24 N Saint Joseph Ave SUITE F1, Niles, MI 49120
National Provider ID: 1215366893
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GREATER NILES CARDIOLOGY, PC

Niles, MI

Status:
Inactive
Industry:
Medical Doctor's Office, Nonclassifiable Establishments, Offices and Clinics of Medical Doctors, Nsk
Registration:
Oct 17, 2013
Phone:
(269) 687-9575 (Phone)
Addresses:
24 N St Joseph Ave SUITE F-1, Niles, MI 49120 (Physical)
Michigan (Mailing)
24 N Saint Joseph Ave, Niles, MI 49120
State ID:
05433J
Business type:
Domestic Profit Corporation
Agent:
Ogubay T Mesmer
Categories:
Physicians & Surgeons

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