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Organization
MICHIGAN MEDICAL PC
Active
Organization
MICHIGAN MEDICAL PC
Active
Parent organization
MICHIGAN MEDICAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PC
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
2093 HEALTH DR SW, GRAND RAPIDS, MI 49519-9691
(616) 459-8700
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
NULL
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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