Grand Valley Surgical Center, Llc

NPI 1417950395 - Clinic/Center - 261QM1300X

NPI Details
NPI 1417950395
Enumeration Date 05/24/2005
Last Updated 08/16/2012
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name KARA KARA
Position CUSTOMER SERVICES MANAGER
Phone (616) 224-1110
Fax
Practice Location
2680 LEONARD ST NE
STE 1
GRAND RAPIDS MI, 49525-6902, US
Phone (616) 224-1110
Fax
Business Location
2680 LEONARD ST NE
STE 1
GRAND RAPIDS MI, 49525-6902, US
Phone (616) 224-1110
Fax
Toxanomy
Taxonomy Code 261QM1300X
License State Michigan
License Number 416829
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According to our database, Grand Valley Surgical Center, Llc NPI is 1417950395, taxonomy code is 261QM1300X and license number is 416829, license state is located at Michigan. Grand Valley Surgical Center, Llc physically located at 2680 Leonard St Ne, Grand Rapids MI, 49525-6902. NPI Number 1033115704 has the healthcare provider type.

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1417950395 NPI number is provided on an as is basis without warranty of any kind. 1417950395 is maintained by the National Plan & Provider Enumeration System. The contents of Grand Valley Surgical Center, Llc are for informational purposes only.