# MED-1 HOLLAND LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740510957
- **Authorized official:** MARY ALICE EHRLICH (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (616) 459-1560

## Contact information

- **Practice address:** 383 GARDEN AVE, HOLLAND, MI 49424-9602
- **Practice address phone:** (616) 494-8271
- **Mailing address:** 1140 MONROE AVE NW, STE 150, GRAND RAPIDS, MI 49503-1055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QX0100X | Occupational Medicine Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/11/2010
- **Last updated:** 01/11/2010