Organization
MICHIGAN BLOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM J. RIETSCHA (PRESIDENT/CEO)
(616) 774-2300
Entity
Organization
Contact information
Practice address
1036 FULLER AVE NE, GRAND RAPIDS, MI 49503-1304
(616) 774-2300
(616) 233-8612
Mailing address
PO BOX 1704, GRAND RAPIDS, MI 49501-1704
(616) 774-2300
(616) 233-8612
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
23D0724117
MI
Other
Enumeration date
09/30/2008
Last updated
05/12/2011
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