Psoriasis And Eczema Treatment Center Of Western Michigan Pllc

NPI 1396745055 - Dermatology - 207N00000X

NPI Details
NPI 1396745055
Enumeration Date 07/26/2005
Last Updated 06/18/2013
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name MAREK A MAREK
Position PHYSICIAN
Phone (616) 459-8209
Fax (616) 459-0313
Practice Location
833 MICHIGAN ST NE
SUITE 102
GRAND RAPIDS MI, 49503-3523, US
Phone (616) 459-8209
Fax (616) 459-0313
Business Location
833 MICHIGAN ST NE
SUITE 102
GRAND RAPIDS MI, 49503-3523, US
Phone (616) 459-8209
Fax (616) 459-0313
Toxanomy
Taxonomy Code 207N00000X
License State
License Number
Remove 1396745055 NPI Number
 

According to our database, Psoriasis And Eczema Treatment Center Of Western Michigan Pllc NPI is 1396745055, taxonomy code is 207N00000X Psoriasis And Eczema Treatment Center Of Western Michigan Pllc physically located at 833 Michigan St Ne, Grand Rapids MI, 49503-3523. NPI Number 1033115704 has the healthcare provider type.

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1396745055 NPI number is provided on an as is basis without warranty of any kind. 1396745055 is maintained by the National Plan & Provider Enumeration System. The contents of Psoriasis And Eczema Treatment Center Of Western Michigan Pllc are for informational purposes only.