Organization
GRAND RAPIDS SURGICAL SUITES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BAILEY (OFFICER/AUTHORIZED OFFICIAL)
(203) 609-1168
Entity
Organization
Contact information
Practice address
2505 E PARIS AVE SE, SUITE 105, GRAND RAPIDS, MI 49546-2459
(616) 551-3149
(616) 551-3869
Mailing address
2505 E PARIS AVE SE, SUITE 105, GRAND RAPIDS, MI 49546-2459
(616) 551-3149
(616) 551-3869
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
MI
Other
Enumeration date
10/28/2016
Last updated
10/07/2024
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