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Organization

WILLIAM P MCINNIS, PSY.D., PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLIAM P MCINNIS (OWNER)
(616) 785-8900
Entity
Organization

Contact information

Practice address
640 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-8209
(616) 785-8900
Mailing address
640 3 MILE RD NW STE 101, GRAND RAPIDS, MI 49544-8209
(616) 785-8900

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
L947184
MI

Other

Enumeration date
07/09/2008
Last updated
07/09/2008
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