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Organization

MICHIGAN MEDICAL, PC.

Active
Parent organization
MICHIGAN MEDICAL PC
Other names
Hamilton Family Medicine
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHIGAN MEDICAL PC
Authorized official
DANIEL GREVENGOED (VP OF FINANCE AND REIMBURSEMENT)
(616) 974-4889
Entity
Organization

Contact information

Practice address
3362 LINCOLN RD. M40, HAMILTON, MI 49419
(269) 751-5189
Mailing address
4085 BURTON ST SE, STE. 200, GRAND RAPIDS, MI 49546-2444
(616) 974-4889

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
12/22/2006
Last updated
09/14/2007
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