Brent L. Card is a Surgical in Grand Rapids, Michigan. Brent L. Card practices all healthcare services and medical treatments related to Surgical. The NPI Number for Brent L. Card is 1700991858. The last update date is 2014-04-29.
Brent L. Card's current location address is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6164597101. The mailing address for Brent L. Card is 1111 Leffingwell Ave Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent L. Card |
|---|---|
| Address | 1111 Leffingwell Ave Ne, Grand Rapids, Michigan |
| Phone Number | 6164597101 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | P.A.-C. |
NPI Number Detail
| NPI Number | 1700991858 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2014-04-29 |
Provider Mailing Address Detail
| Address | 1111 Leffingwell Ave Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495256406 |
| Phone Number | 6164597101 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 5601003040 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| OD14869 | MI | GROUP PTAN |
Post Comment/ Review Below
Could you provide the complete address where Brent L. Card is physically located?
The Brent L. Card is situated at the following address: 1111 Leffingwell Ave Ne, Grand Rapids, MI 495256406.
What is Brent L. Card's specialized field of practice, and what is the corresponding taxonomy classification code?
The Brent L. Card's area of specialization is Surgical, and the corresponding taxonomy code that categorizes this field of practice is 363As0400X.
On what date was the 1700991858 assigned to Brent L. Card?
The Brent L. Card was issued its 1700991858 on 2006-08-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Brent L. Card receive the assignment of its 1700991858 from the Centers for Medicare & Medicaid Services?
The Brent L. Card was issued its 1700991858 by the Centers for Medicare & Medicaid Services on 2006-08-20.
As of what date was the information pertaining to Brent L. Card, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brent L. Card, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-04-29.