Organization
ELDER CARE OF WEST MICHIGAN PLLC
Active
Organization
ELDER CARE OF WEST MICHIGAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY JO UECKER (BUSINESS MANAGER)
(269) 420-9404
Entity
Organization
Contact information
Practice address
6785 MYERS LAKE AVE NE, ROCKFORD, MI 49341-7416
(616) 366-4234
(616) 469-1118
Mailing address
4448 KOINONIA DR NE, GRAND RAPIDS, MI 49525-9332
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
02/15/2019
Last updated
05/02/2019
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