| NPI | 1033226402 |
|---|---|
| Former Legal Business Name | GRAND VALLEY INTERNAL MEDICINE SPECIALISTS, PLC |
| Entity Type | Organization |
| Authorized Contact | JOANNE REYNOLDS Credentialing Specialist 616-235-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0100X Internal Medicine, Gastroenterology | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-11-06 |