| Michigan Medical PC | |
|
17691 174th Ave Spring Lake MI 49456-9750 | |
| (616) 842-1276 | |
| Not Available |
| Full Name | Michigan Medical PC |
|---|---|
| Speciality | Family Medicine |
| Location | 17691 174th Ave, Spring Lake, 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 PC 4085 Burton St Se Suite 200 Grand Rapids MI 49546-2444 | Michigan Medical PC 17691 174th Ave Spring Lake MI 49456-9750 Ph: (616) 842-1276 |
| NPI Number | 1134395239 |
|---|---|
| Provider Enumeration Date | 05/08/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134395239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QR0200X | Clinic/center - Radiology | () | Secondary |
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