| Northvale LLC | |
|
2222 W Grand River Ave Ste A Okemos MI 48864-1604 | |
| (517) 253-9625 | |
| Not Available |
| Full Name | Northvale LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2222 W Grand River Ave Ste A, Okemos, Michigan |
| Authorized Official Name and Position | Earnest White (OWNER) |
| Authorized Official Contact | 5172539625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northvale LLC 2222 W Grand River Ave Ste A Okemos MI 48864-1604 Ph: (517) 253-9625 | Northvale LLC 2222 W Grand River Ave Ste A Okemos MI 48864-1604 Ph: (517) 253-9625 |
| NPI Number | 1306764527 |
|---|---|
| Provider Enumeration Date | 07/07/2026 |
| Last Update Date | 07/07/2026 |
| Certification Date | 07/07/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306764527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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