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
4069 LAKE DR SE, GRAND RAPIDS, MI 49546-8816
(616) 974-4800
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
208600000X
Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
208800000X
Urology Physician
—
—
208C00000X
Colon & Rectal Surgery Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
—
—
261QR0206X
Mammography Clinic/Center
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
03/27/2008
Last updated
03/02/2010
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