| Alexander Corcoran Pa-c LLC | |
|
2340 College Ave Se Grand Rapids MI 49507-3108 | |
| (517) 281-2300 | |
| Not Available |
| Full Name | Alexander Corcoran Pa-c LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 2340 College Ave Se, Grand Rapids, Michigan |
| Authorized Official Name and Position | Alexander J Corcoran (OWNER) |
| Authorized Official Contact | 5172812300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander Corcoran Pa-c LLC 2340 College Ave Se Grand Rapids MI 49507-3108 | Alexander Corcoran Pa-c LLC 2340 College Ave Se Grand Rapids MI 49507-3108 Ph: (517) 281-2300 |
| NPI Number | 1932748050 |
|---|---|
| Provider Enumeration Date | 01/06/2020 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932748050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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