Individual
MICHAEL S. MINASIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7751 BYRON CENTER AVE SW, SUITE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
(616) 267-7941
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
072794
MI
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
4301072794
MI
Other
Enumeration date
05/17/2006
Last updated
02/18/2021
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