Red Arrow Family Practice

Organization Active NPI General Practice Physician · Coloma, MI

NPI 1457540908 · NPPES record last updated Oct 22, 2007

Key facts

NPI
1457540908
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Physician 208D00000X
License
009859 (MI)
Legal business name
RED ARROW FAMILY PRACTICE
Practice address
6500 Red Arrow Hwy
Coloma, MI 49038-8700
Phone
(269) 468-4100
Fax
(269) 468-3334
NPI assigned
Oct 22, 2007
Organization subpart
No

Authorized official

Name
Dr. Michael E Mayle, DO
Title
Owner
Phone
(269) 468-4100

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208D00000X 009859 MI Yes

Addresses

Primary practice location

6500 Red Arrow Hwy
Coloma, MI 49038-8700

Mailing address

6500 Red Arrow Hwy
Coloma, MI 49038-8700
Phone (269) 468-4100

Other providers in Coloma, MI

All providers in Coloma, MI · General Practice Physician in Michigan

Sources for this page

Verify at the official NPI Registry.