MICHIGAN MEDICAL PATIENT CARE NPI 1174689608

NPI Information

MICHIGAN MEDICAL PATIENT CARE is a podiatrist in Grand Rapids, MI. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. MICHIGAN MEDICAL PATIENT CARE NPI is 1174689608. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4069 LAKE DR SE
SUITE 315 B
GRAND RAPIDS, MI
ZIP 49546-816
Phone: (616) 464-2810

The provider's authorized official is Scott Harring .
The authorized official title is Cfo and has the following contact phone number (616) 974-4889.

The enumeration date for this NPI number is 12/29/2006 and was last updated on 3/2/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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