Southwest Michigan Center for Orthopaedics and Sports Medicine
Organization Active NPI Legal Medicine · Coloma, MI
NPI 1609963503 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1609963503
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Legal Medicine 173000000X
- Legal business name
- SOUTHWEST MICHIGAN CENTER FOR ORTHOPAEDICS AND SPORTS MEDICINE
- Practice address
- 6720 Red Arrow Hwy
Coloma, MI 49038-9703 - Phone
- (269) 468-6760
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Kenneth J Edwards, M.D.
- Title
- Managing Partner
- Phone
- (269) 428-3500
Practitioners 2
-
Brian Keith Leannais, MPT
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Legal Medicine |
173000000X | Yes |
Addresses
Primary practice location
6720 Red Arrow Hwy
Coloma, MI 49038-9703
Mailing address
6720 Red Arrow Hwy
Coloma, MI 49038-9703
Phone (269) 468-6760
Other providers in Coloma, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.