Individual
RON IRVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASTER OF MANAGEMENT
Contact information
Practice address
315 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4736
(616) 299-6374
(616) 974-6497
Mailing address
315 EASTERN AVE SE, GRAND RAPIDS, MI 49503-4736
(616) 299-6374
(616) 974-6497
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/30/2015
Last updated
09/09/2021
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