Organization
ALLERGY & ASTHMA CARE OF W MI PC
Active
Other names
Allergy Consultant Services PC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK M MILLAR MD (PRESIDENT)
(616) 957-1912
Entity
Organization
Contact information
Practice address
1179 EAST PARIS SE, SUITE 150, GRAND RAPIDS, MI 49546-3680
(616) 957-1912
(616) 957-0074
Mailing address
1179 EAST PARIS SE, SUITE 150, GRAND RAPIDS, MI 49546-3680
(616) 957-1912
(616) 957-0074
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
4301071401
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
347887810
—
MI
Enumeration date
06/18/2006
Last updated
05/14/2014
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