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NPI Code Detail

MEDICARE: SWMI HEALTH MATTERS PLLC

MEDICARE: SWMI HEALTH MATTERS PLLC
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
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1619532199
Entity Type Code : Organization
Provider Name (Legal Business Name) : SWMI HEALTH MATTERS PLLC
Provider Business Mailing Address
First Line : 5708 VENTURE CT STE A
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-2858
Country : US
Telephone Number : 269-220-0648
Fax Number : 269-220-3535
Provider Business Practice Location Address
First Line : 5708 VENTURE CT STE A
Second Line :
City : KALAMAZOO
State : MI
Zip : 49009-2858
Country : US
Telephone Number : 269-220-0648
Fax Number : 269-220-3535
Authorized Official
Title or Position : OWNER
Name : JENNIFER S OPDYCKE
Credential : PA-C
Telephone Number : 269-220-0648
Provider Enumeration Date : 05/09/2019
Last Update Date : 01/12/2024

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Directions to “SWMI HEALTH MATTERS PLLC ” Practice Location

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