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Organization

SYNANON INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN FOSS (SR. VP OPERATIONS)
(231) 861-3029
Entity
Organization

Contact information

Practice address
1091 S BEACON BLVD, GRAND HAVEN, MI 49417-2607
(616) 604-0096
(616) 604-0095
Mailing address
1091 S BEACON BLVD, GRAND HAVEN, MI 49417-2607
(616) 604-0096
(616) 604-0095

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
104948
CARE CHOICES
MI
01
P47678
BLUE CARE NETWORK
MI
Enumeration date
09/27/2005
Last updated
10/15/2024
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