Organization
EMERGENCY HEALTH PARTNERS GRAND HAVEN PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JB GILLELAND DO (DIRECTOR)
(616) 915-7933
Entity
Organization
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 847-5310
(616) 726-1494
Mailing address
PO BOX 673755, DETROIT, MI 48267-3755
(866) 898-7139
(616) 975-9824
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010G060430
BCBS
—
Enumeration date
11/20/2006
Last updated
04/15/2015
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