Organization
GRAND RAPIDS MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA AVILES (OFFICE MANAGER)
(616) 431-2001
Entity
Organization
Contact information
Practice address
551 36TH ST SE UNIT D, WYOMING, MI 49548-2355
(616) 431-2001
Mailing address
551 36TH ST SE UNIT D, WYOMING, MI 49548-2355
(616) 431-2001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/13/2013
Last updated
09/30/2013
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