Michigan Medical Patient Care

NPI #1649334590 in Grand Rapids, Michigan

Provider Information

NPI Number: 1649334590
Entity Type: Organization
Organization Name: Michigan Medical Patient Care
Subpart: Yes (part of a larger organization)
Parent Organization: MICHIGAN MEDICAL PATIENT CARE
Primary Specialty: Ophthalmology
Enumeration Date: Dec 21, 2006
Last Updated: Mar 2, 2010

Practice Location

Address: 4069 LAKE DR SE
Address 2: SUITE 315 D
City: Grand Rapids
State: Michigan
ZIP Code: 49546-8816
Phone: (616) 464-2890

Authorized Official

Name: SCOTT HARRING
Title: CFO
Phone: (616) 974-4889

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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