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THE DOCTORS GROUP PC NPI 1104922863


NPI Information

NPI: 1104922863
Provider Name: THE DOCTORS GROUP, PC

Doing Business As: WATTLES PARK FAMILY PRACTICE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1125 MICHIGAN AVE E
SUITE 5
BATTLE CREEK, MI
ZIP 49014
Phone: (269) 969-4656
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THE DOCTORS GROUP, PC is a primary care clinic center in Battle Creek, MI. THE DOCTORS GROUP, PC NPI is 1104922863. The provider is registered as an organization entity type.
The provider Is Doing Business As Wattles Park Family Practice.

The provider's business location address is:

1125 MICHIGAN AVE E
SUITE 5
BATTLE CREEK, MI
ZIP 49014-832
Phone: (269) 969-4656
Fax: (269) 969-6085

The provider's authorized official is Barb C Vanhaitsma .
The authorized official title is Practice Manager and has the following contact phone number (269) 969-4656.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 1/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care4301083010MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G49059MEDICARE UPINMICHIGAN
2E85080MEDICARE UPINMAINE
34635366MEDICAIDMICHIGAN
44227952MEDICAIDMICHIGAN
54300678MEDICAIDMICHIGAN
60N25600MEDICARE PINMICHIGAN
7H3297MEDICARE UPINMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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