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Contact Information

VISIONARY MEDICAL SERVICES PC
100 MICHIGAN ST NE
GRAND RAPIDS, MI49503-2560
 Phone: 616-391-1680
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Medical Toxicology

207PT0002X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for VISIONARY MEDICAL SERVICES PC

NPI # 1538216569
LBN Legal business name VISIONARY MEDICAL SERVICES PC
Authorized official JOHN THROOP - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/04/2007
Last updated 09/20/2023 - About 3 years ago
Identifiers
Other DF8509 RAILROAD MEDICARE
MI Other 700D117150 BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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