Organization
GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES BENDER DPM (PHYSICIAN)
(616) 784-1595
Entity
Organization
Contact information
Practice address
721 3 MILE RD NW, SUITE 100, GRAND RAPIDS, MI 49544-8229
(616) 784-1595
(616) 784-5920
Mailing address
4310 LEONARD ST NW, SUITE 103, WALKER, MI 49534-8447
(616) 453-6329
(616) 453-1725
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4854150090
BCBSM
MI
01
—
ES002162
STATE LICENSE
MI
01
—
JB001217
STATE LICENSE
MI
Enumeration date
03/05/2008
Last updated
11/13/2008
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