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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