Organization
ALLERGY ASSOCIATES OF WESTERN MICHIGAN P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI BRINKS (INSURANCE BILLER)
(616) 531-6900
Entity
Organization
Contact information
Practice address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900
(616) 531-5847
Mailing address
3185 MACATAWA DR SW STE B, GRANDVILLE, MI 49418-3184
(616) 531-6900
(616) 531-5847
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030D163140
BLUE CROSS BLUE SHIELD
MI
Enumeration date
07/16/2006
Last updated
04/02/2020
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