Individual
CALEB SCOTT PARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4069 LAKE DR SE STE 315, GRAND RAPIDS, MI 49546-8816
(616) 267-7700
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704287084
MI
Other
Enumeration date
10/20/2020
Last updated
06/07/2022
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