Organization · Type 2 NPI

Michigan Medical Patient Care

Internal Medicine Physician · Grand Rapids, MI

NPI number 1124290341 Active

Practice location

4069 Lake Dr SE
Grand Rapids, MI 49546-8816

Mailing address

4085 Burton St SE, Suite 200
Grand Rapids, MI 49546-2444

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician Primary 207R00000XNone listed
Endocrinology, Diabetes & Metabolism Physician 207RE0101XNone listed
Ophthalmology Physician 207W00000XNone listed
Orthopaedic Foot and Ankle Surgery Physician 207XX0004XNone listed
Otolaryngology Physician 207Y00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Surgery Physician 208600000XNone listed
Vascular Surgery Physician 2086S0129XNone listed
Surgical Oncology Physician 2086X0206XNone listed
Urology Physician 208800000XNone listed
Colon & Rectal Surgery Physician 208C00000XNone listed
Interventional Pain Medicine Physician 208VP0014XNone listed
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200XNone listed
Mammography Clinic/Center 261QR0206XNone listed
Clinical Medical Laboratory 291U00000XNone listed

Internal Medicine Physician: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medi…

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About NPI 1124290341

Michigan Medical Patient Care's National Provider Identifier is 1124290341, issued on Mar 27, 2008. The primary taxonomy on file is Internal Medicine Physician (207R00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Mar 2, 2010.