| NPI | 1184132664 |
|---|---|
| Doing Business As | ESSENTIA HEALTH GRAND RAPIDS CLINIC |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOREN VP Of Finance 218-786-1009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2024-02-28 |