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Contact Information

MICHIGAN MEDICAL PATIENT CARE
4069 LAKE DR SE
GRAND RAPIDS, MI49546-8816
 Phone: 616-974-4800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Colon & Rectal Surgery

208C00000X 02 Physician/General Surgery
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Foot and Ankle Surgery

207XX0004X 02 Physician/General Surgery
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Magnetic Resonance Imaging (MRI)

261QM1200X
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Radiology, Mammography

261QR0206X
 

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for MICHIGAN MEDICAL PATIENT CARE · (Female)

NPI # 1124290341
Status Active
Credentials
Entity Individual
Enumeration date 03/27/2008
Last updated 03/02/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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