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Organization
HOLLAND ALLERGY CLINIC PC
Active
Organization
HOLLAND ALLERGY CLINIC PC
Active
Other names
Holland Allergy Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK ALBERTSON MUNDEN JR. M.D. (OWNER)
(616) 392-2516
Entity
Organization
Contact information
Practice address
844 S WASHINGTON SUITE 500, BLDG 1 SUITE 500, HOLLAND, MI 49423-7146
(616) 392-2516
(616) 392-1418
Mailing address
844 S WASHINGTON SUITE 500, BLDG 1 SUITE 500, HOLLAND, MI 49423-7146
(616) 392-2516
(616) 392-1418
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301056696
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030255
BCBS ID
MI
01
—
1255360418
FED BCBS
MI
Enumeration date
07/01/2006
Last updated
01/08/2008
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