| Michigan Sleep Network Pc | |
|
555 Midtowne Ne Suite 104-b Grand Rapids MI 49503-5713 | |
| (616) 784-0274 | |
| (616) 784-4468 |
| Full Name | Michigan Sleep Network Pc |
|---|---|
| Speciality | Dentist |
| Location | 555 Midtowne Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Daniel J Burton (C.O.O) |
| Authorized Official Contact | 6167840274 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michigan Sleep Network Pc 555 Midtowne Ne Suite 104-b Grand Rapids MI 49503-5713 Ph: (616) 784-0274 | Michigan Sleep Network Pc 555 Midtowne Ne Suite 104-b Grand Rapids MI 49503-5713 Ph: (616) 784-0274 |
| NPI Number | 1831500958 |
|---|---|
| Provider Enumeration Date | 05/12/2014 |
| Last Update Date | 09/29/2014 |
| Medicare PECOS PAC ID | 4688896798 |
|---|---|
| Medicare Enrollment ID | O20141105000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831500958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 11372 (Michigan) | Primary |
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