Organization
SPORT AND INJURY CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM JAMES GELLER PHYSICIAN ASSISTANT (OWNER)
(616) 676-6939
Entity
Organization
Contact information
Practice address
1116 COVELL AVE NW, GRAND RAPIDS, MI 49504-3816
(616) 676-6939
Mailing address
1116 COVELL AVE NW, GRAND RAPIDS, MI 49504-3816
(616) 676-6939
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2023
Last updated
05/09/2023
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