PREMIER CARDIOLOGY PC
Osteopathic Medicine at Shaffer St, Kalamazoo, MI

License number
Michigan 4301041454
Category
Osteopathic Medicine
Type
Cardiovascular Disease
Owner
Name: DR. EVALT AYERDI M.D.
Title: MANAGING PARTNER
Phone: (269) 381-3963
Address
Address
1722 Shaffer St SUITE 1, Kalamazoo, MI 49048
National Provider ID: 1104952019
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PREMIER CARDIOLOGY, PC

Kalamazoo, MI

Status:
Inactive
Registration:
Feb 22, 2007
Addresses:
1722 Shaffer St STE 1, Kalamazoo, MI 49048 (Physical)
1722 Shaffer St, Kalamazoo, MI 49048 (Mailing)
State ID:
00561G
Business type:
Domestic Professional Service Corporation
Expiration:
7-15-2014
Agent:
Md Anthony King

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