Organization
GRAND RAPIDS ALLERGY PLC
Active
Other names
Grand Rapids Allergy PC
Organization subpart
No
Provider details
NPI number
Authorized official
KARYN E. GELL M.D. (PARTNER)
(616) 949-4840
Entity
Organization
Contact information
Practice address
970 PARCHMENT DRIVE SE, SUITE 203, GRAND RAPIDS, MI 49546
(616) 949-4840
(616) 949-3531
Mailing address
970 PARCHMENT DRIVE SE, SUITE 203, GRAND RAPIDS, MI 49546
(616) 949-4840
(616) 949-3531
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110D111480
BCBS OF MI
MI
01
—
C0BOB
BILLING LOCATION CODE
—
Enumeration date
01/22/2007
Last updated
12/31/2013
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