Individual
PRAVIN C PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JEFFERSON AVE SE, SUITE 1, GRAND RAPIDS, MI 49503
(616) 458-9000
(616) 458-9023
Mailing address
309 JEFFERSON AVE SE, SUITE 1, GRAND RAPIDS, MI 49503
(616) 458-9000
(616) 458-9023
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
4301045899
MI
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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