| |
7128 Fulton St E Ada MI 49301-8436 | |
(616) 825-3500 | |
(616) 825-3501 |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 7128 Fulton St E, Ada, Michigan |
Authorized Official Name and Position | Leisa Kimbrough (SR DIRECTOR OF REVENUE CYCLE) |
Authorized Official Contact | 6164866790 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
100 Michigan St Ne # Mc845 Grand Rapids MI 49503-2560 Ph: () - | 7128 Fulton St E Ada MI 49301-8436 Ph: (616) 825-3500 |
NPI Number | 1437673712 |
---|---|
Provider Enumeration Date | 07/28/2017 |
Last Update Date | 10/31/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437673712 | NPI | - | NPPES |