Organization
RENAL AND HYPERTENSION SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW J KRUTUL (PRESIDENT)
(616) 516-2192
Entity
Organization
Contact information
Practice address
4024 PARK EAST CT SE, SUITE C, GRAND RAPIDS, MI 49546-8810
(616) 516-2192
Mailing address
4860 E MEADOWS CT SE, GRAND RAPIDS, MI 49546-8247
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
4301068403
MI
Other
Enumeration date
03/19/2012
Last updated
03/19/2012
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