Organization
PLANNED PARENTHOOD OF WEST & NORTHERN MI
Active
Other names
Mecosta Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE BRADY (COO)
(616) 774-7005
Entity
Organization
Contact information
Practice address
110 SANBORN AVE, SUITE B, BIG RAPIDS, MI 49307
(231) 796-8612
(231) 796-6305
Mailing address
208 S MICHIGAN AVE, BIG RAPIDS, MI 49307-1810
(231) 796-8612
(231) 796-6305
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235101329
—
MI
Enumeration date
10/26/2006
Last updated
03/30/2010
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