Organization
COUNTY OF OTTAWA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA STEFANOVSKY (HEALTH DIRECTOR)
(616) 393-5781
Entity
Organization
Contact information
Practice address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5600
(616) 393-5643
Mailing address
12251 JAMES ST, SUITE 400, HOLLAND, MI 49424-9675
(616) 393-5600
(616) 393-5643
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
690350488
MI
Other
Enumeration date
10/02/2007
Last updated
01/09/2012
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