Organization
GRAND RAPIDS MEDICAL EDUCATION AND RESEARCH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER ENGELMAN D.O. (RESIDENT)
(816) 392-8112
Entity
Organization
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 304, GRAND RAPIDS, MI 49503-2556
(616) 391-2160
Mailing address
330 BARCLAY AVE NE, SUITE 304, GRAND RAPIDS, MI 49503-2556
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
5101018314
MI
Other
Enumeration date
06/29/2009
Last updated
06/29/2009
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