Organization · Type 2 NPI

Michigan Medical PC

Vascular Surgery Physician · Grand Rapids, MI

NPI number 1700052230 Active

Practice location

2093 Health Dr SW
Grand Rapids, MI 49519-9691

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
Vascular Surgery Physician Primary 2086S0129XNone listed

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1700052230

Michigan Medical PC's National Provider Identifier is 1700052230, issued on May 5, 2008. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Grand Rapids, MI. The record was last updated on May 5, 2008.