Organization
WEST MICHIGAN HEART
Active
Organization
WEST MICHIGAN HEART
Active
Other names
West Michigan Heart, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS JURRIES (DIRECTOR)
(616) 486-6790
Entity
Organization
Contact information
Practice address
2900 BRADFORD ST NE, GRAND RAPIDS, MI 49525-6427
(616) 885-5000
(616) 885-5020
Mailing address
PO BOX 1687, GRAND RAPIDS, MI 49501-1687
(616) 486-9280
(616) 974-9064
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
4301065606
MI
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
MI
363LA2200X
Adult Health Nurse Practitioner
4704211588
MI
Other
Enumeration date
11/08/2005
Last updated
02/06/2014
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