Mmpc Weight Management

NPI #1083637003 in Grand Rapids, Michigan

Provider Information

NPI Number: 1083637003
Entity Type: Organization
Organization Name: Mmpc Weight Management
Primary Specialty: Surgery
Enumeration Date: Jul 25, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 4100 LAKE DR SE
Address 2: S-B01
City: Grand Rapids
State: Michigan
ZIP Code: 49546-8292
Phone: (616) 974-4400

Authorized Official

Name: DANIEL GREVENGOED
Title: CPA
Phone: (616) 974-4431

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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