Organization

Visionary Medical Services Pc

Emergency Medicine Physician in Grand Rapids, MI(View on Map)

Legal Business Name

Visionary Medical Services Pc

NPI Number

1538216569

NPI Type

Organization

Enumeration Date

01/04/2007

Specialties

(Taxonomies)

Contact
Information

Purpose

Mailing
Location

Address

2536 MOMENTUM PL
100 MICHIGAN ST NE

City

Chicago
Grand Rapids

State

IL
MI

Postal Code

60689-5325
49503-2560

Country

US
US

Telephone Number

(616) 975-1845
(616) 391-1680

Authorized Official

Name

John Throop

Title or Position

PRESIDENT

Telephone Number

(616) 988-8220

Identifiers

Identifier

DF8509
700D117150

Identifier State

Unknown
MI

Identifier Issuer

RAILROAD MEDICARE
BCBS

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/20/2023

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