Organization
MICHIGAN MEDICAL PATIENT CARE
Active
Parent organization
MICHIGAN MEDICAL PATIENT CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PATIENT CARE
Authorized official
PAULINE (POLLY) KRYWANSKI (CFO)
(616) 486-2253
Entity
Organization
Contact information
Practice address
4100 LAKE DR SE, S-102, GRAND RAPIDS, MI 49546-8292
(616) 974-4800
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
09/28/2010
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