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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