Organization · Type 2 NPI
Physician's Home Network, PLLC
Adult Medicine Physician · Grand Rapids, MI
NPI number
1386971711
Active
Practice location
3033 Orchard Vista Dr SE, Suite 309
Grand Rapids, MI 49546-7077
Fax (616) 608-7408
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Medicine Physician Primary | 207QA0505X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Adult Health Nurse Practitioner | 363LA2200X | None listed |
Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.
2 other providers at this address
About NPI 1386971711
Physician's Home Network, PLLC's National Provider Identifier is 1386971711, issued on Nov 5, 2009. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Grand Rapids, MI. The record was last updated on Nov 5, 2009.