Organization · Type 2 NPI
Sedara Mae Healthcare Clinic, LLC
Community Health Clinic/Center · Grand Rapids, MI
NPI number
1265875892
Active
Practice location
1167 Madison Ave SE, Mailbox 5
Grand Rapids, MI 49507-1200
Mailing address
PO Box 8862
Kentwood, MI 49518-8862
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | 4704237090 (MI) |
Community Health Clinic/Center: Definition to come...
Other community health clinic/center providers in Grand Rapids
About NPI 1265875892
Sedara Mae Healthcare Clinic, LLC's National Provider Identifier is 1265875892, issued on Apr 12, 2013. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Grand Rapids, MI. The record was last updated on Apr 25, 2013.