Organization
GRAND VALLEY MEDICAL SPECIALISTS PLC
Active
Other names
Grand Valley Internal Medicine Specialists, PLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE REYNOLDS (CREDENTIALING SPECIALIST)
(616) 235-4800
Entity
Organization
Contact information
Practice address
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 742-6758
Mailing address
1000 EAST PARIS AVE SE STE 100, GRAND RAPIDS, MI 49546-3680
(616) 459-3158
(616) 742-6758
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0100X
Gastroenterology Physician
—
—
Other
Enumeration date
08/23/2006
Last updated
11/06/2023
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