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Organization
GRAND VALLEY STATE UNIVERSITY
Active
Organization
GRAND VALLEY STATE UNIVERSITY
Active
Other names
Campus Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD AMOS JONES II (DCHWB)
(616) 828-9504
Entity
Organization
Contact information
Practice address
10383 42ND AVE # A, ALLENDALE, MI 49401-8207
(616) 331-2809
Mailing address
10383 42ND AVE # A, ALLENDALE, MI 49401-8207
(616) 331-2809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/16/2007
Last updated
07/25/2025
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