Tri-City Medical Clinic PLC
Organization Active NPI Infectious Disease Physician · Coloma, MI
NPI 1497780654 · NPPES record last updated Feb 12, 2008
Key facts
- NPI
- 1497780654
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 4301068832 (MI)
- Legal business name
- TRI-CITY MEDICAL CLINIC PLC
- Practice address
- 6633 Red Arrow Hwy
Coloma, MI 49038-8717 - Phone
- (269) 468-7684
- Fax
- (269) 468-7687
- NPI assigned
- Jul 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Aurora B Madanguit, MD
- Title
- Owner
- Phone
- (269) 468-7684
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | 4301068832 | MI | Yes |
Addresses
Primary practice location
6633 Red Arrow Hwy
Coloma, MI 49038-8717
Mailing address
6633 Red Arrow Hwy
Coloma, MI 49038-8717
Phone (269) 468-7684
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4341536 | Medicaid | MI |
Other providers in Coloma, MI
- Southwest Michigan Home Care Services, Inc
- Ashley R Stacker
- Startup Center for Inner Peace, PLLC
- Gerald Carl Thiele
- Wendy S Tremblay
- Jackie Walgram
- Brian Lynn Ward
- Wayfinder Counseling & Wellness, PLLC
- Linda Lou Zurek Wood
All providers in Coloma, MI · Infectious Disease Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.