Dermatology Center Of Grand Rapids Pc

NPI 1275527053 - Dermatology - 207ND0101X

NPI Details
NPI 1275527053
Enumeration Date 09/07/2005
Last Updated 03/06/2015
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name EVELYN E EVELYN
Position PRESIDENT
Phone (616) 942-9343
Fax (616) 942-2538
Practice Location
750 E BELTLINE AVE NE
SUITE 301
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 942-9343
Fax (616) 942-2538
Business Location
750 E BELTLINE AVE NE
SUITE 301
GRAND RAPIDS MI, 49525-6049, US
Phone (616) 942-9343
Fax (616) 942-2538
Toxanomy
Taxonomy Code 207ND0101X
License State
License Number
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According to our database, Dermatology Center Of Grand Rapids Pc NPI is 1275527053, taxonomy code is 207ND0101X Dermatology Center Of Grand Rapids Pc physically located at 750 E Beltline Ave Ne, Grand Rapids MI, 49525-6049. NPI Number 1033115704 has the healthcare provider type.

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1275527053 NPI number is provided on an as is basis without warranty of any kind. 1275527053 is maintained by the National Plan & Provider Enumeration System. The contents of Dermatology Center Of Grand Rapids Pc are for informational purposes only.