# MICHIGAN MEDICAL PATIENT CARE

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN MEDICAL PATIENT CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1043540818
- **Legal business name:** MICHIGAN MEDICAL PATIENT CARE
- **Authorized official:** SCOTT HARRING (CFO)
- **Authorized official phone:** (616) 974-4889

## Contact information

- **Practice address:** 707 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3514
- **Practice address phone:** (616) 754-3001
- **Practice address fax:** (616) 754-3828
- **Mailing address:** 4085 BURTON ST SE, STE. 200, GRAND RAPIDS, MI 49546-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | — |
| 207RP1001X | Pulmonary Disease Physician | — | — | — |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | — | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | NULL | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 03/02/2010