Organization
GRAND RAPIDS MEDICAL EDUCATION PARTNERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH T CARROLL MD (GENERAL SURGERY RESIDENT)
(616) 391-1691
Entity
Organization
Contact information
Practice address
221 MICHIGAN ST NE STE 200A, GRAND RAPIDS, MI 49503-2543
(616) 391-1691
Mailing address
221 MICHIGAN ST NE STE 200A, GRAND RAPIDS, MI 49503-2543
(616) 391-1691
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
4301100859
MI
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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