| NPI | 1568427524 |
|---|---|
| Doing Business As | GRAND RIVER MEDICAL GROUP, PC |
| Entity Type | Organization |
| Authorized Contact | JUSTIN HAFNER Chief Executive Officer 563-557-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RC0000X Internal Medicine Cardiovascular Disease |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 207RI0011X Internal Medicine Interventional Cardiology | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2019-11-06 |