Unknown Individual – Obstetrics & Gynecology Physician, NPI 1780636852
Obstetrics & Gynecology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
2690, South Cleveland Avenue, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States
SAINT JOSEPH, MI 490853002
Phone: (269) 428-2800
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 49085)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | GU | |
| Family Practice | GU | |
| Nurse Practitioner | GU | |
| O P T O M E T R Y | OH | |
| Family Practice | GU | |
| Family Practice | WA | |
| Physician Assistant | GU | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WA | |
| Internal Medicine | CA | |
| Nurse Practitioner | GU |
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