Miranda Ward, Sole Propreiter | |
1351 Sherman St Se Grand Rapids MI 49506-2613 | |
(616) 710-1166 | |
Not Available |
Full Name | Miranda Ward, Sole Propreiter |
---|---|
Speciality | Community/behavioral Health |
Location | 1351 Sherman St Se, Grand Rapids, Michigan |
Authorized Official Name and Position | Miranda M Ward (CERTIFIED RECREATIONAL THERAPIST) |
Authorized Official Contact | 6167101166 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Miranda Ward, Sole Propreiter 1351 Sherman St Se Grand Rapids MI 49506-2613 Ph: (616) 710-1166 | Miranda Ward, Sole Propreiter 1351 Sherman St Se Grand Rapids MI 49506-2613 Ph: (616) 710-1166 |
NPI Number | 1700253895 |
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Provider Enumeration Date | 08/25/2015 |
Last Update Date | 08/25/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700253895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 62081 (Michigan) | Primary |
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