Michigan Progressive Health Grand Rapids
NPI #1588165039 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1588165039
- Entity Type
- Organization
- Organization Name
- Michigan Progressive Health Grand Rapids
- Primary Specialty
- Anesthesiology
- Enumeration Date
- Feb 21, 2018
- Last Updated
- Feb 21, 2018
Practice Location
- Address
- 847 PARCHMENT DR SE STE 105
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-2377
- Phone
- (616) 805-3350
Authorized Official
- Name
- DR. CAROL AGNES JUGAN, MD
- Title
- PHYSICIAN
- Phone
- (616) 805-3350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Anesthesiology |
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