Allergy & Asthma Care Of W Mi Pc in Grand Rapids - Allergy & Immunology

Allergy & Asthma Care Of W Mi Pc - NPI 1518902022

Allergy & Asthma Care Of W Mi Pc is a Allergy & Immunology in Grand Rapids, Michigan. Allergy & Asthma Care Of W Mi Pc practices all healthcare services and medical treatments related to Allergy & Immunology. The NPI Number for Allergy & Asthma Care Of W Mi Pc is 1518902022. The last update date is 2014-05-14.

Allergy & Asthma Care Of W Mi Pc's current location address is 1179 East Paris Se, Grand Rapids, Michigan. You can contact this provider via phone number 6169571912 and fax number 6169570074. The mailing address for Allergy & Asthma Care Of W Mi Pc is 1179 East Paris Se, Grand Rapids, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Organization Allergy & Asthma Care Of W Mi Pc
Address 1179 East Paris Se, Grand Rapids, Michigan
Phone Number 6169571912
Fax Number 6169570074
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Millar M Mark
Credentials MD
Telephone Number 6169571912

NPI Number Detail

NPI Number 1518902022
Provider Enumeration Date 2006-06-18
Last Updated Date 2014-05-14

Provider Mailing Address Detail

Address 1179 East Paris Se
City Grand Rapids
State Michigan (MI)
Post Code 495463680
Phone Number 6169571912
Fax Number 6169570074

Provider's Primary Taxonomy Detail

Speciality Allergy & Immunology
Taxonomy 207K00000X
Licence No 4301071401
Definition:
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
347887810 MI --

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FAQs about Allergy & Asthma Care Of W Mi Pc

What is the unique identification code assigned to Allergy & Asthma Care Of W Mi Pc by the Centers for Medicare & Medicaid Services?

The Allergy & Asthma Care Of W Mi Pc has been issued the NPI (National Provider Identifier) 1518902022. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Allergy & Asthma Care Of W Mi Pc is physically located?

The Allergy & Asthma Care Of W Mi Pc is situated at the following address: 1179 East Paris Se, Grand Rapids, MI 495463680.

What is Allergy & Asthma Care Of W Mi Pc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Allergy & Asthma Care Of W Mi Pc's area of specialization is Allergy & Immunology, and the corresponding taxonomy code that categorizes this field of practice is 207K00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1518902022 to Allergy & Asthma Care Of W Mi Pc?

The Centers for Medicare & Medicaid Services originally issued the 1518902022 to Allergy & Asthma Care Of W Mi Pc on 2006-06-18.

As of what date was the information pertaining to Allergy & Asthma Care Of W Mi Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Allergy & Asthma Care Of W Mi Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-05-14.

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