Grand River Gastroenterology Pc in Grand Rapids - Specialist
Grand River Gastroenterology Pc - NPI 1164470472
Grand River Gastroenterology Pc is a Specialist in Grand Rapids, Michigan. Grand River Gastroenterology Pc practices all healthcare services and medical treatments related to Specialist. The NPI Number for Grand River Gastroenterology Pc is 1164470472. The last update date is 2022-03-21.
Grand River Gastroenterology Pc's current location address is 310 Lafayette Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6167526525 and fax number 6167526556. The mailing address for Grand River Gastroenterology Pc is 310 Lafayette Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Grand River Gastroenterology Pc |
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Address | 310 Lafayette Ave Se, Grand Rapids, Michigan |
Phone Number | 6167526525 |
Fax Number | 6167526556 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | BILLING |
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Authorized Official Name | Rumisek B Dena |
Telephone Number | 6167526529 |
NPI Number Detail
NPI Number | 1164470472 |
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Provider Enumeration Date | 2006-05-05 |
Last Updated Date | 2022-03-21 |
Provider Mailing Address Detail
Address | 310 Lafayette Ave Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 495034693 |
Phone Number | 6167526525 |
Fax Number | 6167526556 |
Provider's Primary Taxonomy Detail
Speciality | Specialist |
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Taxonomy | 174400000X |
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique identification code assigned to Grand River Gastroenterology Pc by the Centers for Medicare & Medicaid Services?
The Grand River Gastroenterology Pc has been issued the NPI (National Provider Identifier) 1164470472. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grand River Gastroenterology Pc?
The Grand River Gastroenterology Pc is physically situated at 310 Lafayette Ave Se, in the city of Grand Rapids, state of MI, with the postal code 495034693.
What is Grand River Gastroenterology Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Grand River Gastroenterology Pc's specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.
When did the Grand River Gastroenterology Pc receive its 1164470472?
The Grand River Gastroenterology Pc was issued its 1164470472 on 2006-05-05, which is the date when the organization was assigned this unique identifier.
As of what date were the Grand River Gastroenterology Pc's details last updated?
The information pertaining to the Grand River Gastroenterology Pc, including its address, specialty, and other details, was most recently updated on 2022-03-21.