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Organization

ORTHOPAEDIC ASSOCIATES OF GRAND RAPIDS, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PATRICK REID (CEO)
(616) 459-7101
Entity
Organization

Contact information

Practice address
80 68TH ST SE, GRAND RAPIDS, MI 49548-6980
(616) 459-7101
Mailing address
PO BOX 30516, DEPT 6063, LANSING, MI 48909-8016

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP01303
MI

Other

Enumeration date
04/09/2012
Last updated
07/17/2013
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