Michigan Medical Patient Care in Grand Rapids - Geriatric Medicine
Michigan Medical Patient Care - NPI 1104092626
Michigan Medical Patient Care is a Geriatric Medicine in Grand Rapids, Michigan. Michigan Medical Patient Care practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Michigan Medical Patient Care is 1104092626. The last update date is 2010-03-02.
Michigan Medical Patient Care's current location address is 1900 Wealthy St Se, Grand Rapids, Michigan. You can contact this provider via phone number 6164590292. The mailing address for Michigan Medical Patient Care is 1900 Wealthy St Se, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Medical Patient Care |
|---|---|
| Address | 1900 Wealthy St Se, Grand Rapids, Michigan |
| Phone Number | 6164590292 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Harring Scott |
| Telephone Number | 6169744889 |
NPI Number Detail
| NPI Number | 1104092626 |
|---|---|
| Provider Enumeration Date | 2008-05-05 |
| Last Updated Date | 2010-03-02 |
Provider Mailing Address Detail
| Address | 1900 Wealthy St Se |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495062969 |
| Phone Number | 6164590292 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Geriatric Medicine |
|---|---|
| Taxonomy | 207Qg0300X |
|
Definition: A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's |
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What is the Michigan Medical Patient Care's 1104092626?
The Michigan Medical Patient Care's NPI (National Provider Identifier) Number is 1104092626. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Michigan Medical Patient Care's facilities are situated?
The facilities of Michigan Medical Patient Care are physically located at the following address: 1900 Wealthy St Se, Grand Rapids, MI, 495062969.
What is the Michigan Medical Patient Care's specialty and taxonomy code?
The Michigan Medical Patient Care's specialty is Geriatric Medicine, and the corresponding taxonomy code is 207Qg0300X.
On what date did the Centers for Medicare & Medicaid Services issue the 1104092626 to Michigan Medical Patient Care?
The Michigan Medical Patient Care received its 1104092626 assignment from the Centers for Medicare & Medicaid Services on 2008-05-05.
As of what date were the Michigan Medical Patient Care's details last updated?
The information pertaining to the Michigan Medical Patient Care, including its address, specialty, and other details, was most recently updated on 2010-03-02.
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