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Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
3800 LAKE MICHIGAN DR NW, GRAND RAPIDS, MI 49534-4583
(616) 453-8225
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
NULL
Other
Enumeration date
05/06/2008
Last updated
03/02/2010
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