Organization
GRAND VALLEY STATE UNIVERSITY
Active
Other names
Grand Valley State University Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ANN SHEEHAN DNP, RN, CPNP (ASSISTANT DEAN FOR PRACTICE KCON)
(616) 988-8774
Entity
Organization
Contact information
Practice address
72 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4234
(616) 988-8774
Mailing address
72 SHELDON BLVD SE, GRAND RAPIDS, MI 49503-4234
(616) 988-8774
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
4704248959
MI
261QH0100X
Health Service Clinic/Center
Primary
4704248959
MI
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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