Internal Medicine Outpatient Services, Pc | |
2795 Orange Ave Grandrapids MI 49546 | |
(616) 954-2099 | |
(616) 949-5355 |
Full Name | Internal Medicine Outpatient Services, Pc |
---|---|
Speciality | Internal Medicine |
Location | 2795 Orange Ave, Grandrapids, Michigan |
Authorized Official Name and Position | Amanda Melissa Huver (PRESIDENT) |
Authorized Official Contact | 6169542099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Internal Medicine Outpatient Services, Pc 2795 Orange Ave Grandrapids MI 49546 Ph: (616) 954-2099 | Internal Medicine Outpatient Services, Pc 2795 Orange Ave Grandrapids MI 49546 Ph: (616) 954-2099 |
NPI Number | 1215009022 |
---|---|
Provider Enumeration Date | 11/15/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215009022 | NPI | - | NPPES |
4341483 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 5101010570 (Michigan) | Primary |