Organization
BORN CLINIC, PC
Active
Other names
BORN PREVENTIVE HEALTH CARE CLINIC,PC
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MERRILL (ACCOUNTS MANAGER)
(616) 656-3700
Entity
Organization
Contact information
Practice address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Mailing address
3700 52ND ST SE, GRAND RAPIDS, MI 49512-9637
(616) 656-3700
(616) 656-3701
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
MI
Other
Enumeration date
08/03/2005
Last updated
07/21/2022
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