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Organization
UROLOGY ASSOCIATES PC OF GRAND RAPIDS
Active
Organization
UROLOGY ASSOCIATES PC OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY JETT (PRACTICE ADMINISTRATOR)
(616) 459-3551
Entity
Organization
Contact information
Practice address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Mailing address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
NULL
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
12/15/2023
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