Organization
MICHIGAN MEDICAL PC
Active
Organization
MICHIGAN MEDICAL PC
Active
Parent organization
MICHIGAN MEDICAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PC
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
750 FULLER AVE NE, GRAND RAPIDS, MI 49503-1918
(616) 486-3333
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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