Organization
MED-1 HOLLAND LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY ALICE EHRLICH (EXECUTIVE VICE PRESIDENT)
(616) 459-1560
Entity
Organization
Contact information
Practice address
383 GARDEN AVE, HOLLAND, MI 49424-9602
(616) 494-8271
Mailing address
1140 MONROE AVE NW, STE 150, GRAND RAPIDS, MI 49503-1055
Taxonomy
Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2010
Last updated
01/11/2010
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