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Organization
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN
Active
Organization
PLANNED PARENTHOOD OF WEST & NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA EDWARDS (REGIONAL MANAGER)
(616) 774-7005
Entity
Organization
Contact information
Practice address
425 CHERRY STREET SE, MARTIN/IRWIN CENTERS, GRAND RAPIDS, MI 49503
(616) 774-7005
(616) 774-0516
Mailing address
425 CHERRY STREET SE, GRAND RAPIDS, MI 49503
(616) 774-7005
(616) 774-0516
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
NULL
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
261QA0005X
Ambulatory Family Planning Facility
—
NULL
332900000X
Non-Pharmacy Dispensing Site
—
NULL
363AM0700X
Medical Physician Assistant
—
NULL
363AM0700X
Medical Physician Assistant
—
—
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
NULL
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
234541789
—
MI
Enumeration date
10/06/2006
Last updated
02/04/2014
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