Individual
MACK B SOLOMON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1570 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-4446
(517) 927-3636
Mailing address
1570 E BELTLINE AVE SE, GRAND RAPIDS, MI 49546-4446
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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