Individual
HARVEY J DEMAAGD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2332 ALPINE AVE NW, GRAND RAPIDS, MI 49544-1955
(616) 391-6220
Mailing address
100 MICHIGAN ST NE, MC 109 ATTN JULIE L, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301025984
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1598712390
GROUP NPI
MI
05
—
4822799
—
MI
05
—
4822805
—
MI
05
—
4822814
—
MI
05
—
4822832
—
MI
01
—
700D114790
BCBS GROUP #
MI
Enumeration date
05/04/2006
Last updated
04/12/2012
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