Organization
PLANNED PARENTHOOD OF WEST AND NORTHERN MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRIDGET MARY WHITE MA (VICE PRESIDENT)
(616) 774-7005
Entity
Organization
Contact information
Practice address
425 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 774-7005
(616) 774-0516
Mailing address
425 CHERRY ST SE, GRAND RAPIDS, MI 49503-4601
(616) 774-7005
(616) 774-0516
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1174610406
FAMILY PLANNING
MI
Enumeration date
04/16/2015
Last updated
04/16/2015
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