Organization · Type 2 NPI
Creston Medical Center, PLLC
Health Service Clinic/Center · Grand Rapids, MI
NPI number
1154583078
Active
Practice location
1330 Plainfield Ave NE
Grand Rapids, MI 49505-4913
Fax (616) 776-3713
Mailing address
PO Box 2564
Grand Rapids, MI 49501-2564
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | 4301029675 (MI) |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1154583078
Creston Medical Center, PLLC's National Provider Identifier is 1154583078, issued on Jul 1, 2008. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 1, 2008.