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Organization

MICHIGAN MEDICAL PATIENT CARE

Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes

Provider details

NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization

Contact information

Practice address
890 WASHINGTON AVE, HOLLAND, MI 49423-7731
(616) 394-1907
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
207RG0100X
Gastroenterology Physician
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
2084N0400X
Neurology Physician
208600000X
Surgery Physician
2086S0129X
Vascular Surgery Physician
261QR0200X
Radiology Clinic/Center

Other

Enumeration date
03/27/2008
Last updated
03/02/2010
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