West Michigan Family Medicine-Kentwood, Plc

NPI #1285826297 in Kentwood, Michigan

Provider Information

NPI Number: 1285826297
Entity Type: Organization
Organization Name: West Michigan Family Medicine-Kentwood, Plc
Subpart: Yes (part of a larger organization)
Parent Organization: WEST MICHIGAN FAMILY MEDICINE, PC
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2007
Last Updated: Aug 14, 2007

Practice Location

Address: 2120 43RD ST SE
Address 2: SUITE 200
City: Kentwood
State: Michigan
ZIP Code: 49508-3772
Phone: (616) 455-4114

Authorized Official

Name: WENDY JOHNSON
Title: OFFICE MANAGER
Phone: (616) 455-4114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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