Individual
ANDREW SCOTT KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
275 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-2531
(616) 267-8700
(616) 267-8247
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301100257
MI
2086S0129X
Vascular Surgery Physician
Primary
4301100257
MI
Other
Enumeration date
06/05/2012
Last updated
01/27/2025
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