Organization
GRAND RAPIDS SURGICAL ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERENT DOMINIQUE PIHL D.O. (SURGEON/FOUNDER)
(616) 634-0936
Entity
Organization
Contact information
Practice address
1009 44TH ST SW, STE 101, WYOMING, MI 49509-4480
(616) 828-4622
(616) 635-2552
Mailing address
1009 44TH ST SW, STE 101, WYOMING, MI 49509-4480
(616) 828-4622
(616) 635-2552
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101019176
MI
Other
Enumeration date
03/23/2016
Last updated
07/06/2016
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