Individual
DR. MARILYN INNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 JEFFERSON AVE SE, GRAND RAPIDS, MI 49503-4502
(616) 685-6781
Mailing address
200 JEFFERSON AVE SE, PO BOX 3578, GRAND RAPIDS, MI 49503-4502
(616) 685-6781
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301108315
MI
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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