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Organization
GRAND RIVER ENDOSCOPY CENTER, L.L.C.
Active
Organization
GRAND RIVER ENDOSCOPY CENTER, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY SUND (ACCESS ASC BILLING TEAM LEAD)
(616) 685-7174
Entity
Organization
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 200, GRAND RAPIDS, MI 49503-4693
(616) 752-5890
Mailing address
310 LAFAYETTE AVE SE, SUITE 200, GRAND RAPIDS, MI 49503-4693
(616) 752-5890
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
NULL
261QE0800X
Endoscopy Clinic/Center
—
NULL
Other
Enumeration date
03/10/2006
Last updated
10/25/2024
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