| Michigan Medical Patient Care | |
|
65 Ida Red Ave Sparta MI 49345-1735 | |
| (616) 887-8891 | |
| Not Available |
| Full Name | Michigan Medical Patient Care |
|---|---|
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 65 Ida Red Ave, Sparta, Michigan |
| Authorized Official Name and Position | Scott Harring (CFO) |
| Authorized Official Contact | 6169744889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Medical Patient Care 4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 Ph: () - | Michigan Medical Patient Care 65 Ida Red Ave Sparta MI 49345-1735 Ph: (616) 887-8891 |
| NPI Number | 1437390028 |
|---|---|
| Provider Enumeration Date | 03/12/2009 |
| Last Update Date | 03/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437390028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
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