DR FRED PLLC

GRAND RAPIDS, MI
NPI1700625761
Doing Business AsMI PARTNER HEALTH
Entity TypeOrganization
Authorized ContactFREDRIC REYELTS
President / Cmo
616-320-0096
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Additional Taxonomies174400000X Specialist
363AM0700X Physician Assistant, Medical
363LA2200X Nurse Practitioner, Adult Health
Enumeration Date2024-05-20
Last Update Date2024-05-20
Business Address
DR FRED PLLC
2100 RAYBROOK ST SE STE 100B
GRAND RAPIDS, MI 49546
Phone number: 616-320-0096
Mailing Address
DR FRED PLLC
2100 RAYBROOK ST SE STE 100B
GRAND RAPIDS, MI 49546-7759
Phone number: 616-320-0096