Organization
GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN PLC
Active
Parent organization
GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
GASTROENTEROLOGY ASSOCIATES OF WESTERN MICHIGAN
Authorized official
DR. ALLAN COATES DO (PRINCIPLE)
(616) 450-2765
Entity
Organization
Contact information
Practice address
2093 HEALTH DR SW STE 201, WYOMING, MI 49519-9691
(616) 328-5350
(616) 452-4142
Mailing address
2093 HEALTH DR SW STE 201, WYOMING, MI 49519-9691
(616) 328-5350
(616) 452-4142
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093116048
INDIVIDUAL NPI
MI
05
—
1134509532
—
MI
05
—
1588731087
—
MI
05
—
5201007286
—
MI
Enumeration date
06/02/2015
Last updated
03/06/2021
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