Greater Grand Rapids Pulmonary And Critical Care Specialists Pc
Pulmonary Disease Physician in Wyoming, MI(View on Map)
Legal Business Name
Greater Grand Rapids Pulmonary And Critical Care Specialists Pc
NPI Number
1114094349
NPI Type
Organization
Enumeration Date
11/30/2006
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
5101013369
Contact
Information
Purpose
Mailing
Location
Address
2093 HEALTH DR SW
2093 HEALTH DR SW
City
Wyoming
Wyoming
State
MI
MI
Postal Code
49519
49519-9691
Country
US
US
Telephone Number
(616) 241-3500
(616) 241-3500
Authorized Official
Name
Beth Weersma
Title or Position
OFFICE MANAGER
Telephone Number
(616) 241-3500
Identifiers
Identifier
4540244
Identifier State
MI
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 03/06/2008