Organization
BONE AND JOINT CARE OF WEST MICHIGAN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MICHELLE DAY M.D. (PARTNER)
(616) 774-0440
Entity
Organization
Contact information
Practice address
1900 WEALTHY ST SE, SUITE 290, GRAND RAPIDS, MI 49506-2969
(616) 774-0440
(616) 774-0818
Mailing address
PO BOX 3140, GRAND RAPIDS, MI 49501-3140
(616) 774-0440
(616) 774-0818
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5012
RAILROAD MEDICARE
—
Enumeration date
07/22/2006
Last updated
08/10/2007
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