Individual
STEVEN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(800) 968-6866
Mailing address
PO BOX Q, GRAND RAPIDS, MI 49501-4917
(800) 968-6866
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5401007471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1482577
—
MI
Enumeration date
09/15/2005
Last updated
09/20/2007
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