Organization
CHRISTIAN HEALTHCARE CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BRIAN BLOCHER (PRESIDENT/CEO)
(616) 340-7079
Entity
Organization
Contact information
Practice address
3322 E BELTLINE CT NE, GRAND RAPIDS, MI 49525-9480
(616) 226-2669
Mailing address
PO BOX 151190, GRAND RAPIDS, MI 49515-1190
(616) 226-2669
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301030071
MI
208000000X
Pediatrics Physician
1419845
MI
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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