Randall Street Medical PC
NPI #1598734584 in Coopersville, Michigan
Provider Information
- NPI Number
- 1598734584
- Entity Type
- Organization
- Organization Name
- Randall Street Medical PC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Mar 14, 2006
- Last Updated
- Jul 22, 2008
Practice Location
- Address
- 675 W RANDALL ST
- City
- Coopersville
- State
- Michigan
- ZIP Code
- 49404-1305
- Phone
- (616) 837-9777
Authorized Official
- Name
- DR. ROGER HOLMAN, D.O.
- Title
- OWNER/PHYSICIAN
- Phone
- (616) 837-9777
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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