Organization
INTERNAL MEDICINE OUTPATIENT SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA MELISSA HUVER DO (PRESIDENT)
(616) 954-2099
Entity
Organization
Contact information
Practice address
2795 ORANGE AVE, GRANDRAPIDS, MI 49546
(616) 954-2099
(616) 949-5355
Mailing address
2795 ORANGE AVE, GRANDRAPIDS, MI 49546
(616) 954-2099
(616) 949-5355
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
5101010570
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4341483
—
MI
Enumeration date
11/15/2006
Last updated
08/22/2020
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