Organization
MICHIGAN MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT HARRING CFO (CFO)
(616) 974-4470
Entity
Organization
Contact information
Practice address
3322 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9480
(616) 456-9104
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5101016694
MI
Other
Enumeration date
05/27/2008
Last updated
05/27/2008
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