MEDICARE: THE DOCTORS GROUP, P.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	5101007066	MI

General Provider Information

NPI Number	:	1043484322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE DOCTORS GROUP, P.C.

Provider Business Mailing Address
First Line	:	391 S SHORE DR
Second Line	:	SUITE 320
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5446
Country	:	US
Telephone Number	:	269-969-6240
Fax Number	:	269-969-6219

Provider Business Practice Location Address
First Line	:	391 S SHORE DR
Second Line	:	SUITE 320
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5446
Country	:	US
Telephone Number	:	269-969-6240
Fax Number	:	269-969-6219

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	JOHN COLLINS
Credential	:	M.D.
Telephone Number	:	269-969-6240

Provider Enumeration Date	:	04/17/2008
Last Update Date	:	04/17/2008

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