BORN CLINIC PC NPI 1881695484

NPI Information

BORN CLINIC, PC 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. BORN CLINIC, PC NPI is 1881695484. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Born Preventive Health Care Clinic,pc.

The provider's business location address is:

3700 52ND ST SE
GRAND RAPIDS, MI
ZIP 49512-637
Phone: (616) 656-3700
Fax: (616) 656-3701

The provider's authorized official is Julie Merrill .
The authorized official title is Accounts Manager and has the following contact phone number (616) 656-3700.

The CLIA number assigned to this NPI record is 23D0380673 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 8/3/2005 and was last updated on 12/10/2012.

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

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