Basic Information
| Provider Information | |||||||||
| NPI: | 1619981891 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEW DAY FAMILY MEDICINE & MEDICAL SPA, P.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3600 CAPITAL AVE SW | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | BATTLE CREEK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490159393 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2699795100 | ||||||||
| FaxNumber: | 2699795480 | ||||||||
| Practice Location | |||||||||
| Address1: | 3600 CAPITAL AVE SW | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | BATTLE CREEK | ||||||||
| State: | MI | ||||||||
| PostalCode: | 490159393 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2699795100 | ||||||||
| FaxNumber: | 2699795480 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/27/2006 | ||||||||
| LastUpdateDate: | 07/12/2010 | ||||||||
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| AuthorizedOfficialLastName: | PLOEHN | ||||||||
| AuthorizedOfficialFirstName: | KIMBERLY | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2699795100 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QH0100X | 4301059704 | MI | Y | Ambulatory Health Care Facilities | Clinic/Center | Health Service |
No ID Information.