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Organization
RIVER VALLEY ORTHOPEDICS, P.C.
Active
Organization
RIVER VALLEY ORTHOPEDICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB JOHNSON (MANAGER)
(616) 459-9404
Entity
Organization
Contact information
Practice address
350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 49503-4600
(616) 456-8515
Mailing address
350 LAFAYETTE AVE SE, 4TH FLOOR, GRAND RAPIDS, MI 49503-4600
(616) 456-8515
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5901002014
MI
Other
Enumeration date
04/08/2008
Last updated
04/08/2008
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