Healthcare Provider Details

I. General information

NPI: 1316994577
Provider Name (Legal Business Name): PREMIER MEDICAL CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1541 GULL RD SUITE 100
KALAMAZOO MI
49048-1639
US

IV. Provider business mailing address

1541 GULL RD SUITE 100
KALAMAZOO MI
49048-1639
US

V. Phone/Fax

Practice location:
  • Phone: 269-381-7380
  • Fax: 269-341-4562
Mailing address:
  • Phone: 269-381-7380
  • Fax: 269-341-4562

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6301009200
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS C DUNNE
Title or Position: DIRECTOR
Credential: MD
Phone: 269-381-7380