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Contact Information

GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS
721 3 MILE RD NW
SUITE 100
GRAND RAPIDS, MI49544-8229
 Phone: 616-784-1595
 Fax: 616-784-5920
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS

NPI Number 1538339676
LBN Legal business name GRAND MERIDIAN FOOT AND ANKLE SPECIALISTS
Authorized official JAMES BENDER - (PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2008
Last updated 11/13/2008 - About 18 years ago
Identifiers
MI Other 4854150090 BCBSM
MI Other ES002162 STATE LICENSE
MI Other JB001217 STATE LICENSE
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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