Individual
JAMES APPLEGATE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3380 44TH ST SW, GRANDVILLE, MI 49418-2461
(616) 913-8250
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301043378
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415493
—
MI
05
—
4160906
—
MI
05
—
4555040
—
MI
Enumeration date
05/18/2006
Last updated
07/08/2007
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