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Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
4069 LAKE DR SE, STE 114, GRAND RAPIDS, MI 49546-8816
(616) 726-8365
Mailing address
4085 BURTON ST SE, STE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/19/2006
Last updated
03/02/2010
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