MICHIGAN MEDICAL PC NPI 1700052230

NPI Information

NPI: 1700052230
Provider Name: MICHIGAN MEDICAL PC
Classification: Surgery - 2086S0129X
Entity Type: Organization

Specialization: Vascular Surgery

CLIA Number: 23D2224752

Address:
2093 HEALTH DR SW
GRAND RAPIDS, MI
ZIP 49519
Phone: (616) 459-8700
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MICHIGAN MEDICAL PC is a vascular surgery surgery in Grand Rapids, MI. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MICHIGAN MEDICAL PC NPI is 1700052230. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2093 HEALTH DR SW
GRAND RAPIDS, MI
ZIP 49519-691
Phone: (616) 459-8700

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 CLIA number assigned to this NPI record is 23D2224752 - other - work-site with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/5/2008 and was last updated on 5/5/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0129X	Surgery	Vascular Surgery			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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