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Organization
ALLERGY ASSOCIATES OF WESTERN MICHIGAN P.C.
Active
Organization
ALLERGY ASSOCIATES OF WESTERN MICHIGAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI BRINKS (INSURANCE BILLER)
(616) 531-6900
Entity
Organization
Contact information
Practice address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900
(616) 531-5847
Mailing address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900
(616) 531-5847
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030D163140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/16/2006
Last updated
04/02/2020
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