Organization
GRAND RIVER GASTROENTEROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENA B RUMISEK (BILLING)
(616) 752-6529
Entity
Organization
Contact information
Practice address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE SE, SUITE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/05/2006
Last updated
03/21/2022
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