Anthony J Kirk Dpm Pc
Podiatric Clinic/Center in Grand Rapids, MI(View on Map)
Legal Business Name
Anthony J Kirk Dpm Pc
NPI Number
1578872438
NPI Type
Organization
Enumeration Date
09/27/2010
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
AK400050
Contact
Information
Purpose
Mailing
Location
Address
2050 BRETON RD SE
2050 BRETON RD SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49546-5547
49546-5547
Country
US
US
Telephone Number
(616) 949-1524
(616) 949-1524
Authorized Official
Name
Ms. Pat Gillman
Title or Position
OFFICE MANAGER
Telephone Number
(616) 949-1524
Identifiers
Identifier
4854111170
4355335
Identifier State
Unknown
MI
Identifier Issuer
BCBS
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/27/2010