Organization
GRAND HAVEN BONE & JOINT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BAKKER R.N. (OFFICE MANAGER)
(616) 296-9100
Entity
Organization
Contact information
Practice address
1445 SHELDON RD, STE. G1, GRAND HAVEN, MI 49417-2480
(616) 296-9100
(616) 296-0145
Mailing address
1445 SHELDON RD, STE. G1, GRAND HAVEN, MI 49417-2480
(616) 296-9100
(616) 296-0145
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
DB067471
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4324025
—
MI
Enumeration date
06/15/2006
Last updated
08/22/2020
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