Organization
SAINT MARY'S HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA LYNN GELDERLOOS RN, CFNP (NURSE PRACTITIONER)
(616) 485-2792
Entity
Organization
Contact information
Practice address
200 JEFFERSON LACKS CANCER CENTER, GRAND RAPIDS, MI 49503
(616) 752-5828
Mailing address
7477 CROOKED CREEK DR SW, BYRON CENTER, MI 49315-8136
(616) 485-2792
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4704235109
MI
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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