Organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Active
Parent organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Authorized official
MARK VIPPERMAN (PRESIDENT)
(231) 845-2297
Entity
Organization
Contact information
Practice address
500 N HANCOCK ST, PENTWATER, MI 49449-8935
(231) 869-7051
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
08/19/2014
Last updated
08/21/2014
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