Individual
JAMES RAY MATA LIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 MICHIGAN ST NE STE 230, GRAND RAPIDS, MI 49503-2550
(616) 774-2822
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110158
MI
207RI0200X
Infectious Disease Physician
Primary
4301510879
MI
Other
Enumeration date
07/06/2016
Last updated
08/06/2024
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