Individual
JAMES OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
7751 BYRON CENTER AVE SW STE C, BYRON CENTER, MI 49315-8001
(616) 267-7668
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704423412
MI
Other
Enumeration date
02/13/2025
Last updated
04/28/2025
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