Organization
GRAND RAPIDS VEIN CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH B MAROGIL M.D. (PHYSICIAN)
(616) 454-8442
Entity
Organization
Contact information
Practice address
1720 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2018
(616) 454-8442
Mailing address
1720 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2018
(616) 454-8442
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
11/07/2007
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