FAMILY PRACTICE ASSOCIATES OF WEST MICHIGAN P.C. NPI 1801101985

NPI Information

FAMILY PRACTICE ASSOCIATES OF WEST MICHIGAN P.C. is a primary care clinic center in Grand Rapids, MI. FAMILY PRACTICE ASSOCIATES OF WEST MICHIGAN P.C. NPI is 1801101985. The provider is registered as an organization entity type.

The provider's business location address is:

6735 CASCADE RD SE
SUITE 100
GRAND RAPIDS, MI
ZIP 49546-887
Phone: (616) 975-2550
Fax: (616) 975-2555

The provider's authorized official is Dennis Seth Vanwormer .
The authorized official title is Owner, President and has the following contact phone number (616) 975-2550.

The enumeration date for this NPI number is 8/12/2010 and was last updated on 8/12/2010.

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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