Individual
DR. PAUL O. FARR
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 LAFAYETTE AVE SE, STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Mailing address
310 LAFAYETTE AVE SE, STE 400, GRAND RAPIDS, MI 49503-4693
(616) 752-6525
(616) 752-6556
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301042322
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1352859
—
MI
Enumeration date
06/22/2005
Last updated
07/08/2007
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