Organization
AMBULATORY UNITED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BRASSER (CEO)
(616) 754-4691
Entity
Organization
Contact information
Practice address
1202 W OAK ST, GREENVILLE, MI 48838-2155
(616) 754-2944
Mailing address
PO BOX 2566, GRAND RAPIDS, MI 49501-2566
(231) 832-8555
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
08/20/2006
Last updated
05/24/2010
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