Organization
SOFT MEDICAL, PC
Active
Other names
Soft Cosmetic Lasar and Vein Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLIN CAMPBELL HERD MD (PRESIDENT)
(616) 532-7638
Entity
Organization
Contact information
Practice address
4455 WILSON AVE SW, GRANDVILLE, MI 49418-2366
(616) 532-7638
(616) 249-8346
Mailing address
4455 WILSON AVE SW, GRANDVILLE, MI 49418-2366
(616) 532-7638
(616) 249-8346
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
Primary
089203
MI
Other
Enumeration date
09/23/2009
Last updated
09/23/2009
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