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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

NPI # 1124290341
LBN Legal business name MICHIGAN MEDICAL PATIENT CARE
Authorized official SCOTT HARRING - (CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 03/27/2008
Last updated 03/02/2010 - About 16 years ago
Identifiers n/a
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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