Organization
MICHIGAN MEDICAL PC
Active
Parent organization
MICHIGAN MEDICAL PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MICHIGAN MEDICAL PC
Authorized official
SCOTT HARRING (CFO)
(616) 974-4889
Entity
Organization
Contact information
Practice address
4069 LAKE DR SE, SUITE 315, GRAND RAPIDS, MI 49546-8816
(616) 464-2890
(616) 464-2891
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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