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Organization
WEST MICHIGAN CENTER FOR FAMILY
Active
Organization
WEST MICHIGAN CENTER FOR FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH BOLTINGHOUSE (OFFICE MANAGER)
(616) 233-0933
Entity
Organization
Contact information
Practice address
1425 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2027
(616) 233-0933
Mailing address
1425 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2027
(616) 233-0933
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5101009309
MI
Other
Enumeration date
08/01/2006
Last updated
03/18/2008
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