Individual
DR. JOHN PATRICK LAGRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
230 MICHIGAN ST NE, STE 102, GRAND RAPIDS, MI 49503-2550
(616) 971-0060
(616) 301-9899
Mailing address
230 MICHIGAN ST NE, STE 102, GRAND RAPIDS, MI 49503-2550
(616) 971-0060
(616) 301-9899
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD61537370
WA
207VG0400X
Gynecology Physician
Primary
JL064022
MI
207VX0000X
Obstetrics Physician
JL064022
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11515
PRIORITY HEALTH
MI
01
—
1604108152
BCBS
MI
Enumeration date
06/08/2005
Last updated
11/06/2024
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