Organization
ASTHMA NETWORK OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK MILLAR MD (PRESIDENT)
(616) 957-1912
Entity
Organization
Contact information
Practice address
309 JEFFERSON AVE SE, SUITE 3, GRAND RAPIDS, MI 49503-4558
(616) 685-1430
(616) 685-1437
Mailing address
309 JEFFERSON AVE SE, SUITE 3, GRAND RAPIDS, MI 49503-4558
(616) 685-1430
(616) 685-1437
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
11/02/2009
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