Organization
MEMORIAL MEDICAL CENTER OF WEST MICHIGAN
Active
Other names
Corewell Health Ludington Hospital Family Medicine - Grant, Spectrum Health Ludington Hospital Family Medicine Grant
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SELLA (CONTROLLER)
(616) 802-0206
Entity
Organization
Contact information
Practice address
230 S MAPLE ST, GRANT, MI 49327-9006
(231) 834-5995
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
08/23/2023
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