Organization
MICHIGAN MEDICAL PC
Active
Organization
MICHIGAN MEDICAL PC
Active
Parent organization
MICHIGAN MEDICAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PC
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
854 WASHINGTON AVE, SUITE 410, WEST B BLDG., HOLLAND, MI 49423-7144
(616) 396-2665
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
11/12/2008
Last updated
11/12/2008
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