GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC

GRAND RAPIDS, MI
NPI1780642355
Entity TypeOrganization
Authorized ContactKHAN JAVAN NEDD
President
616-954-0600
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: MI  4301047295)
Enumeration Date2006-05-03
Last Update Date2007-07-31
Business Address
GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC
4100 LAKE DR SE SUITE 305
GRAND RAPIDS, MI 49546-8292
Phone number: 616-954-0600
Mailing Address
GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC
PO BOX 1682
GRAND RAPIDS, MI 49501-1682
Phone number: 616-954-0600