NPI | 1063942977 |
---|---|
Doing Business As | ESSENTIA HEALTH GRAND RAPIDS CLINIC |
Doing Business As | ESSENTIA HEALTH GRAND RAPIDS SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | MARSHA GREEN COO 218-246-4200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2017-06-13 |
Last Update Date | 2022-07-21 |