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2750 E Beltline Ave Ne Grand Rapids MI 49525 | |
| (877) 362-8362 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2750 E Beltline Ave Ne, Grand Rapids, Michigan |
| Authorized Official Name and Position | Leisa L Kimbrough (SENIOR DIRECTOR OF PHYSCIAN REVENUE) |
| Authorized Official Contact | 6164866579 |
| 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: () - | 2750 E Beltline Ave Ne Grand Rapids MI 49525 Ph: (877) 362-8362 |
| NPI Number | 1811313026 |
|---|---|
| Provider Enumeration Date | 03/12/2014 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811313026 | NPI | - | NPPES |
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