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Organization

GRAND VALLEY MEDICAL SPECIALISTS PLC

Active
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Organization

GRAND VALLEY MEDICAL SPECIALISTS PLC

Active
Other names
Grand Valley Internal Medicine Specialists, PLC
Organization subpart
No

Provider details

NPI number
Authorized official
JOANNE REYNOLDS (CREDENTIALING SPECIALIST)
(616) 235-4800
Entity
Organization

Contact information

Practice address
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 742-6758
Mailing address
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 742-6758

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—

Other

Enumeration date
08/23/2006
Last updated
11/06/2023
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