Organization
GRAND RAPIDS FERTILITY & IVF, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS CHAPMAN DALY MD (OWNER/PRESIDENT)
(616) 774-2030
Entity
Organization
Contact information
Practice address
555 MID TOWNE ST NE, STE 300, GRAND RAPIDS, MI 49503-2515
(616) 774-2030
(616) 774-2053
Mailing address
555 MID TOWNE ST NE, STE 300, GRAND RAPIDS, MI 49503-2515
(616) 774-2030
(616) 774-2053
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
4301057122
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106052
PREFERRED CHOICES
MI
01
—
1604114301
BLUE CROSS BLUE SHIELD
MI
05
—
2807935
—
MI
Enumeration date
07/07/2006
Last updated
08/29/2008
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