Individual
PATRICK MCKEARNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2560
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5101027384
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101027384
MICHIGAN LICENSE
MI
Enumeration date
06/27/2018
Last updated
05/02/2023
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