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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
577 MICHIGAN AVE, HOLLAND, MI 49423-4911
(616) 396-0647
Mailing address
4085 BURTON ST SE, SUITE 200, GRAND RAPIDS, MI 49546-2444

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
207RS0012X
Sleep Medicine (Internal Medicine) Physician

Other

Enumeration date
04/09/2008
Last updated
04/24/2008
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