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
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
1100 E PARIS AVE SE, GRAND RAPIDS, MI 49546-8367
(616) 942-2966
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
4301078284
MI
207NS0135X
Procedural Dermatology Physician
4301078284
MI
Other
Enumeration date
07/30/2009
Last updated
03/02/2010
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