Organization
UROLOGY ASSOCIATES PC OF GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY JETT (PRACTICE ADMINISTRATOR)
(616) 459-3551
Entity
Organization
Contact information
Practice address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Mailing address
245 CHERRY ST SE, SUITE 202, GRAND RAPIDS, MI 49503-4607
(616) 459-3551
(616) 459-1060
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
07/26/2006
Last updated
12/15/2023
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