Michigan Medical Patient Care
NPI #1891718813 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1891718813
- Entity Type
- Organization
- Organization Name
- Michigan Medical Patient Care
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MICHIGAN MEDICAL PATIENT CARE
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jul 25, 2006
- Last Updated
- Sep 28, 2010
Practice Location
- Address
- 4100 LAKE DR SE
- Address 2
- S-102
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546-8292
- Phone
- (616) 974-4800
Authorized Official
- Name
- PAULINE (POLLY) KRYWANSKI
- Title
- CFO
- Phone
- (616) 486-2253
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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