Grand River Gastroenterology PC
NPI #1164470472 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1164470472
- Entity Type
- Organization
- Organization Name
- Grand River Gastroenterology PC
- Primary Specialty
- Internal Medicine - Gastroenterology
- Enumeration Date
- May 5, 2006
- Last Updated
- Mar 21, 2022
Practice Location
- Address
- 310 LAFAYETTE AVE SE
- Address 2
- SUITE 400
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-4693
- Phone
- (616) 752-6525
Authorized Official
- Name
- DENA B RUMISEK
- Title
- BILLING
- Phone
- (616) 752-6529
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
| Internal Medicine - Gastroenterology — Gastroenterology |
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