Organization
INFUSION ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL MAWBY M.D. (PRESIDENT)
(616) 954-0600
Entity
Organization
Contact information
Practice address
3230 EAGLE PARK DR NE, SUITE 101, GRAND RAPIDS, MI 49525-7007
(616) 954-0600
Mailing address
1726 COLE BLVD STE 250, LAKEWOOD, CO 80401-3262
(855) 478-1528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110D111790
BCBSM
MI
01
—
CJ6657
RAILROAD MEDICARE
—
Enumeration date
03/08/2006
Last updated
03/24/2026
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