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Contact Information

GRAND RAPIDS FERTILITY & IVF, PC
555 MID TOWNE ST NE
STE 300
GRAND RAPIDS, MI49503-2515
 Phone: 616-774-2030
 Fax: 616-774-2053
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Reproductive Endocrinology

207VE0102X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for GRAND RAPIDS FERTILITY IVF PC · (Female)

NPI # 1851324610
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2006
Last updated 08/29/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MI License # 4301057122
  • MI Medicaid 2807935
  • MI Other 1604114301 BLUE CROSS BLUE SHIELD
  • MI Other 106052 PREFERRED CHOICES
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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