Organization
HOLLAND ALLERGY CLINIC PC
Active
Other names
Holland Allergy Clinic PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK ALBERTSON MUNDEN JR. M.D. (OWNER)
(616) 392-2516
Entity
Organization
Contact information
Practice address
844 S WASHINGTON SUITE 500, BLDG 1 SUITE 500, HOLLAND, MI 49423-7146
(616) 392-2516
(616) 392-1418
Mailing address
844 S WASHINGTON SUITE 500, BLDG 1 SUITE 500, HOLLAND, MI 49423-7146
(616) 392-2516
(616) 392-1418
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301056696
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0030255
BCBS ID
MI
01
—
1255360418
FED BCBS
MI
Enumeration date
07/01/2006
Last updated
01/08/2008
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