Grand River Surgery, Pllc in Wyoming - Surgery
Grand River Surgery, Pllc - NPI 1790894822
Grand River Surgery, Pllc is a Surgery in Wyoming, Michigan. Grand River Surgery, Pllc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Grand River Surgery, Pllc is 1790894822. The last update date is 2007-11-16.
Grand River Surgery, Pllc's current location address is 2093 Health Drive Sw, Wyoming, Michigan. You can contact this provider via phone number 6165328100 and fax number 6165328200. The mailing address for Grand River Surgery, Pllc is 2093 Health Drive Sw, Wyoming, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Grand River Surgery, Pllc |
|---|---|
| Address | 2093 Health Drive Sw, Wyoming, Michigan |
| Phone Number | 6165328100 |
| Fax Number | 6165328200 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Beane Jaret |
| Credentials | DO |
| Telephone Number | 6165328100 |
NPI Number Detail
| NPI Number | 1790894822 |
|---|---|
| Provider Enumeration Date | 2006-08-30 |
| Last Updated Date | 2007-11-16 |
Provider Mailing Address Detail
| Address | 2093 Health Drive Sw |
|---|---|
| City | Wyoming |
| State | Michigan (MI) |
| Post Code | 49519 |
| Phone Number | 6165328100 |
| Fax Number | 6165328200 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 5101014347 |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Grand River Surgery, Pllc by the Centers for Medicare & Medicaid Services?
The Grand River Surgery, Pllc has been assigned the NPI (National Provider Identifier) 1790894822 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Grand River Surgery, Pllc's facilities are situated?
The facilities of Grand River Surgery, Pllc are physically located at the following address: 2093 Health Drive Sw, Wyoming, MI, 49519.
What is Grand River Surgery, Pllc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Grand River Surgery, Pllc is Surgery, and the corresponding taxonomy classification code for this specialized field is 208600000X.
When did the Grand River Surgery, Pllc receive its 1790894822?
The Grand River Surgery, Pllc was issued its 1790894822 on 2006-08-30, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Grand River Surgery, Pllc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Grand River Surgery, Pllc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-11-16.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY