NPI | 1003515008 |
---|---|
Doing Business As | TRINITY HEALTH MEDICAL GROUP ORTHOPEDICS GRAND RAPIDS |
Entity Type | Organization |
Authorized Contact | DANIEL GREEN VP Finance 616-685-6709 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2023-02-28 |
Last Update Date | 2024-10-10 |