| NPI | 1750443511 |
|---|---|
| Doing Business As | GRAND RAPIDS OBGYN |
| Entity Type | Organization |
| Authorized Contact | DANIEL GREVENGOED VP Of Finance And Reimbursement 616-974-4889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |