Organization
GOLAN INTEGRATED PHYSICAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R GOLAN MD (OWNER)
(808) 463-9726
Entity
Organization
Contact information
Practice address
3097 29TH ST SE STE B, GRAND RAPIDS, MI 49512-1726
(616) 741-2232
Mailing address
PO BOX 561564, DENVER, CO 80256-1564
(616) 741-2232
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/09/2022
Last updated
09/06/2023
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