Internal Medicine Outpatient Services, Pc

NPI 1215009022 - Internal Medicine - 207R00000X

NPI Details
NPI 1215009022
Enumeration Date 11/15/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AMANDA MELISSA AMANDA
Position PRESIDENT
Phone (616) 954-2099
Fax (616) 949-5355
Practice Location
2795 ORANGE AVE
GRANDRAPIDS MI, 49546, US
Phone (616) 954-2099
Fax (616) 949-5355
Business Location
2795 ORANGE AVE
GRANDRAPIDS MI, 49546, US
Phone (616) 954-2099
Fax (616) 949-5355
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101010570
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According to our database, Internal Medicine Outpatient Services, Pc NPI is 1215009022, taxonomy code is 207R00000X and license number is 5101010570, license state is located at Michigan. Internal Medicine Outpatient Services, Pc physically located at 2795 Orange Ave, Grandrapids MI, 49546. NPI Number 1033115704 has the healthcare provider type.

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1215009022 NPI number is provided on an as is basis without warranty of any kind. 1215009022 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine Outpatient Services, Pc are for informational purposes only.