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Organization

MICHIGAN MEDICAL PATIENT CARE

Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization

Contact information

Practice address
145 MICHIGAN AVE NE, GRAND RAPIDS, MI 49503
(616) 974-4889
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444

Taxonomy

Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
208800000X
Urology Physician
208C00000X
Colon & Rectal Surgery Physician

Other

Enumeration date
07/11/2008
Last updated
03/02/2010
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