Organization
BAMF HEALTH I PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH JOHNS MD (DIRECTOR)
(616) 916-0774
Entity
Organization
Contact information
Practice address
109 MICHIGAN ST NW STE 200, GRAND RAPIDS, MI 49503-3790
(888) 870-8998
(616) 253-8365
Mailing address
109 MICHIGAN ST NW STE 200, GRAND RAPIDS, MI 49503-3790
(888) 870-8998
(616) 253-8365
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085R0001X
Radiation Oncology Physician
Primary
—
—
2085R0203X
Therapeutic Radiology Physician
—
—
Other
Enumeration date
04/07/2022
Last updated
09/07/2022
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