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NPI Code Detail

MEDICARE: C&M COMPASSIONATE CARE PLLC

MEDICARE: C&M COMPASSIONATE CARE 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 Physician4301078365MI

General Provider Information

NPI Number : 1760881726
Entity Type Code : Organization
Provider Name (Legal Business Name) : C&M COMPASSIONATE CARE PLLC
Provider Business Mailing Address
First Line : 235 E CHICAGO ST
Second Line : SUITE 2
City : COLDWATER
State : MI
Zip : 49036-1789
Country : US
Telephone Number : 517-227-5246
Fax Number : 517-227-5254
Provider Business Practice Location Address
First Line : 235 E CHICAGO ST
Second Line : SUITE 2
City : COLDWATER
State : MI
Zip : 49036-1783
Country : US
Telephone Number : 517-227-5246
Fax Number : 517-227-5254
Authorized Official
Title or Position : OWNER
Name : DR. CHRISTINIA LYNN WHITAKER
Credential : MD
Telephone Number : 517-227-5246
Provider Enumeration Date : 08/15/2014
Last Update Date : 12/29/2014

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Directions to “C&M COMPASSIONATE CARE PLLC ” Practice Location

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