# MICHIGAN MEDICAL PATIENT CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MICHIGAN MEDICAL PATIENT CARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1306018684
- **Legal business name:** MICHIGAN MEDICAL PATIENT CARE
- **Authorized official:** SCOTT HARRING (CFO)
- **Authorized official phone:** (616) 974-4889

## Contact information

- **Practice address:** 1300 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2026
- **Practice address phone:** (616) 459-8338
- **Mailing address:** 4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | — |
| 207K00000X | Allergy & Immunology Physician | — | — | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | NULL | — |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | NULL | — |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 03/27/2008
- **Last updated:** 03/02/2010