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Organization
PREMIUM HEALTHCARE PC
Active
Organization
PREMIUM HEALTHCARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D BURNS MD, PHD (OWNER/PRESIDENT)
(616) 738-3998
Entity
Organization
Contact information
Practice address
3290 N WELLNESS DR, SUITE 220, HOLLAND, MI 49424-7259
(616) 738-3998
Mailing address
3290 N WELLNESS DR, SUITE 220, HOLLAND, MI 49424-7259
(616) 738-3998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301036066
MI
Other
Enumeration date
10/13/2006
Last updated
11/28/2007
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