is a Family Medicine in Grand Rapids, Michigan. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for is 1679524284. The last update date is .
's current location address is 200 Jefferson Ave Se, Grand Rapids, Michigan. You can contact this provider via phone number 6166851835 and fax number 6166851846. The mailing address for is 200 Jefferson Ave Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 200 Jefferson Ave Se, Grand Rapids, Michigan |
| Phone Number | 6166851835 |
| Fax Number | 6166851846 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1679524284 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 200 Jefferson Ave Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 4950345020 |
| Phone Number | 6166851835 |
| Fax Number | 6166851846 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 4301050164 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3489002 | MI | -- | |
| 4846834 | MI | -- | |
| 4877474 | MI | -- |
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