ST. LUKES PRIMARY CARE NPI 1649757071

NPI Information

ST. LUKES PRIMARY CARE is a family medicine in Grand Rapids, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ST. LUKES PRIMARY CARE NPI is 1649757071. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5300 PATTERSON AVE SE STE 1-D
GRAND RAPIDS, MI
ZIP 49512
Phone: (616) 227-4316
Fax: (616) 227-4632

The provider's authorized official is Darlene Mills .
The authorized official title is Site Manager and has the following contact phone number (616) 227-4316.

The enumeration date for this NPI number is 7/27/2018 and was last updated on 7/27/2018.

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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