Organization
COUNTY OF OTTAWA
Active
Organization
COUNTY OF OTTAWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STEFANOVSKY (HEALTH OFFICER)
(616) 393-5781
Entity
Organization
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5781
(616) 393-5643
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5781
(616) 393-5643
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4363112
—
MI
05
—
4363121
—
MI
05
—
4363130
—
MI
05
—
4363140
—
MI
Enumeration date
02/03/2010
Last updated
08/25/2020
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