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35 Michigan Ne Grand Rapids MI 49503 | |
| (616) 267-2400 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Pediatrics - Pediatric Gastroenterology |
| Location | 35 Michigan Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Bradley L Sher (DIRECTOR OF PAYER RELATIONS/REIMBUR) |
| Authorized Official Contact | 6164866705 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
100 Michigan St Ne Mc 845 Grand Rapids MI 49503-2560 Ph: () - | 35 Michigan Ne Grand Rapids MI 49503 Ph: (616) 267-2400 |
| NPI Number | 1396024683 |
|---|---|
| Provider Enumeration Date | 08/04/2011 |
| Last Update Date | 10/31/2023 |
| Certification Date | 10/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396024683 | NPI | - | NPPES |
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