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Organization

MEMORIAL MEDICAL CENTER OF WEST MICHIGAN

Active
Parent organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Other names
Spectrum Health Ludington Hospital Obstetrics and Gynecology
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Authorized official
RANDALL STASIK (PRESIDENT)
(231) 924-1340
Entity
Organization

Contact information

Practice address
250 NELSON RD, SUITE 1, LUDINGTON, MI 49431-1993
(231) 843-6767
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Enumeration date
05/11/2016
Last updated
06/15/2016
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