Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Other names
Spectrum Health Big Rapids Hospital Family Medicine Tustin
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS KNOERL (CONTROLLER)
(231) 832-7177
Entity
Organization
Contact information
Practice address
111 E CHURCH ST, TUSTIN, MI 49688-5114
(231) 832-8560
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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