Organization
KIRK AGERSON MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIRK JOSEPH AGERSON MD (PRESIDENT)
(616) 540-0876
Entity
Organization
Contact information
Practice address
2849 MICHIGAN ST NE, GRAND RAPIDS, MI 49506-1216
(616) 285-6450
(616) 285-6455
Mailing address
2849 MICHIGAN ST NE, GRAND RAPIDS, MI 49506-1216
(616) 285-6450
(616) 285-6455
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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