Organization
CRESTON MEDICAL SERVICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER BEARDSLEE APP MD (PRESIDENT)
(616) 776-1275
Entity
Organization
Contact information
Practice address
1330 PLAINFIELD AVE NE, GRAND RAPIDS, MI 49505-5091
(616) 776-1275
(616) 776-3713
Mailing address
PO BOX 264, GRAND RAPIDS, MI 49501-0264
(616) 776-1275
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301029675
MI
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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