Organization
MECOSTA COUNTY MEDICAL CENTER
Active
Parent organization
MECOSTA COUNTY MEDICAL CENTER
Other names
Spectrum Health Big Rapids OB/Gyn
Organization subpart
Yes
Provider details
NPI number
Legal business name
MECOSTA COUNTY MEDICAL CENTER
Authorized official
MR. THOMAS E DAUGHERTY (CEO)
(231) 796-8691
Entity
Organization
Contact information
Practice address
722 LOCUST ST, BIG RAPIDS, MI 49307-2040
(231) 592-4200
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MI
Other
Enumeration date
08/26/2011
Last updated
05/06/2014
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