Organization
MICHIGAN PROGRESSIVE HEALTH GRAND RAPIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROL AGNES JUGAN MD (PHYSICIAN)
(616) 805-3350
Entity
Organization
Contact information
Practice address
847 PARCHMENT DR SE STE 105, GRAND RAPIDS, MI 49546-2377
(616) 805-3350
Mailing address
847 PARCHMENT DR SE STE 105, GRAND RAPIDS, MI 49546-2377
(616) 805-3350
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
02/21/2018
Last updated
02/21/2018
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