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Organization
GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS
Active
Organization
GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BENDER DPM (PHYSICIAN)
(616) 784-1595
Entity
Organization
Contact information
Practice address
721 3 MILE RD NW, SUITE 100, GRAND RAPIDS, MI 49544-8229
(616) 784-1595
(616) 784-5920
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4854150090
BCBSM
MI
01
—
ES002162
STATE LICENSE
MI
01
—
JB001217
STATE LICENSE
MI
Enumeration date
03/05/2008
Last updated
11/13/2008
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