Organization
COUNTY OF OTTAWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STEFANOVSKY (HEALTH OFFICER)
(616) 393-5781
Entity
Organization
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5781
(616) 393-5643
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5781
(616) 393-5643
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1678299
—
MI
05
—
1678314
—
MI
05
—
5100813
—
MI
05
—
5100822
—
MI
Enumeration date
10/16/2006
Last updated
08/25/2020
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