# INTERNAL MEDICINE OF WEST MICHIGAN PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dr's Marvin, Gans and Roslaniec
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619028412
- **Authorized official:** ELIZABETH A KOZAK M.D. (PARTNER)
- **Authorized official phone:** (616) 285-9090

## Contact information

- **Practice address:** 3200 EAGLE PARK DR NE, SUITE 102, GRAND RAPIDS, MI 49525-7057
- **Practice address phone:** (616) 285-9090
- **Practice address fax:** (616) 285-7947
- **Mailing address:** 3200 EAGLE PARK DR NE, SUITE 102, GRAND RAPIDS, MI 49525-7057
- **Mailing address phone:** (616) 285-9090
- **Mailing address fax:** (616) 285-7947

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | MI | Yes |

## Other

- **Enumeration date:** 01/16/2007
- **Last updated:** 10/25/2024