is a Geriatric Medicine in Grand Rapids, Michigan. practices all healthcare services and medical treatments related to Geriatric 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 | |
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Address | 200 Jefferson Ave Se, Grand Rapids, Michigan |
Phone Number | 6166851835 |
Fax Number | 6166851846 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1679524284 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 200 Jefferson Ave Se |
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City | Grand Rapids |
State | Michigan (MI) |
Post Code | 4950345020 |
Phone Number | 6166851835 |
Fax Number | 6166851846 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
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Taxonomy | 207Qg0300X |
Licence No | 4301050164 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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3489002 | MI | -- | |
4846834 | MI | -- | |
4877474 | MI | -- |
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