| Ado Medical Of Kansas, Pa | |
|
4555 Wilson Ave Sw Ste 1 Grandville MI 49418-2370 | |
| (616) 229-2935 | |
| Not Available |
| Full Name | Ado Medical Of Kansas, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4555 Wilson Ave Sw Ste 1, Grandville, Michigan |
| Authorized Official Name and Position | Tim Gutwald (GENERAL COUNSEL) |
| Authorized Official Contact | 6164988102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ado Medical Of Kansas, Pa 625 Kenmoor Ave Se Ste 301 Grand Rapids MI 49546-2395 Ph: (616) 229-2935 | Ado Medical Of Kansas, Pa 4555 Wilson Ave Sw Ste 1 Grandville MI 49418-2370 Ph: (616) 229-2935 |
| NPI Number | 1093577108 |
|---|---|
| Provider Enumeration Date | 01/24/2024 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093577108 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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