Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
1900 WEALTHY ST SE, GRAND RAPIDS, MI 49506-2969
(616) 459-0292
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
—
—
207RR0500X
Rheumatology Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
05/05/2008
Last updated
03/02/2010
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