Organization
ALEXANDER CORCORAN PA-C LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER J CORCORAN (OWNER)
(517) 281-2300
Entity
Organization
Contact information
Practice address
2340 COLLEGE AVE SE, GRAND RAPIDS, MI 49507-3108
(517) 281-2300
Mailing address
2340 COLLEGE AVE SE, GRAND RAPIDS, MI 49507-3108
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/06/2020
Last updated
01/06/2020
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