Organization
ALLENDALE FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SMOCK (BILLING MANAGER)
(616) 895-2000
Entity
Organization
Contact information
Practice address
11160 WJ PRESLEY PKWY STE 101, ALLENDALE, MI 49401-8075
(616) 895-2000
(616) 895-2009
Mailing address
11160 WJ PRESLEY PKWY STE 101, ALLENDALE, MI 49401-8075
(616) 895-2000
(616) 895-2009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2005
Last updated
06/13/2024
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