Individual
GEORGE AMAURY LARA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2500
(616) 267-2501
Mailing address
35 MICHIGAN ST NE STE 3003, GRAND RAPIDS, MI 49503-2528
(616) 267-2500
(616) 267-2501
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
4351050114
MI
Other
Enumeration date
06/18/2022
Last updated
06/24/2022
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