National Provider Identifier Database

GRAND RAPIDS FERTILITY IVF PC
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


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
* Reproductive Endocrinology 207VE0102X

* Indicates primary specialty

NPI Profile & details for GRAND RAPIDS FERTILITY & IVF, PC

NPI Number 1851324610
Legal business name
LBN
GRAND RAPIDS FERTILITY & IVF, PC
Authorized official DOUGLAS DALY - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 07/07/2006
Last updated 08/29/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MI License #: 4301057122
  • MI Medicaid: 2807935
  • MI Other: 1604114301 BLUE CROSS BLUE SHIELD
  • MI Other: 106052 PREFERRED CHOICES

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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