Urology Surgeons Pc

NPI 1467561480 - Urology - 208800000X

NPI Details
NPI 1467561480
Enumeration Date 08/30/2006
Last Updated 12/01/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DAVID EDWARD DAVID
Position PRESIDENT
Phone (616) 949-4340
Fax (616) 949-4341
Practice Location
4070 LAKE DR SE
SUITE 103
GRAND RAPIDS MI, 49546-8294, US
Phone (616) 949-4340
Fax (616) 949-4341
Business Location
4070 LAKE DR SE
SUITE 103
GRAND RAPIDS MI, 49546-8294, US
Phone (616) 949-4340
Fax (616) 949-4341
Toxanomy
Taxonomy Code 208800000X
License State
License Number
Remove 1467561480 NPI Number
 

According to our database, Urology Surgeons Pc NPI is 1467561480, taxonomy code is 208800000X Urology Surgeons Pc physically located at 4070 Lake Dr Se, Grand Rapids MI, 49546-8294. NPI Number 1033115704 has the healthcare provider type.

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1467561480 NPI number is provided on an as is basis without warranty of any kind. 1467561480 is maintained by the National Plan & Provider Enumeration System. The contents of Urology Surgeons Pc are for informational purposes only.