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Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Other names
Spectrum Health Big Rapids Hospital Family Medicine Tustin
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KNOERL (CONTROLLER)
(231) 832-7177
Entity
Organization
Contact information
Practice address
111 E CHURCH ST, TUSTIN, MI 49688-5114
(231) 832-8560
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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