CORPORATE OCCUPATIONAL HEALTH PC NPI 1538766639

NPI Information

CORPORATE OCCUPATIONAL HEALTH PC is a preventive medicine/occupational environmental medicine preventive medicine in Grand Rapids, MI. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. CORPORATE OCCUPATIONAL HEALTH PC NPI is 1538766639. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3501 LAKE EASTBROOK BLVD SE STE 144
GRAND RAPIDS, MI
ZIP 49546-939
Phone: (616) 340-0936

The provider's authorized official is Richard Ilka .
The authorized official title is Owner, Md and has the following contact phone number (616) 285-2728.

The enumeration date for this NPI number is 10/2/2020 and was last updated on 10/2/2020.

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:

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