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Synanon Inc
Family Nurse Practitioner in Grand Haven, Michigan
NPI 1306037916

Synanon Inc is a Family Nurse Practitioner based in Grand Haven, MI and is specialized in Family. Synanon Inc practices in Grand Haven, MI. The NPI Number for Synanon Inc is 1306037916 and holds a License No. (Michigan).

The current practice location address for Synanon Inc is 1091 S Beacon Blvd, Grand Haven, MI and can be reached out via phone at 616-604-0096.

Location: 1091 S Beacon Blvd, Grand Haven, MI, 49417-2607
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306037916
Provider Name
Synanon Inc
Credential
Provider Entity Type
Organization
Address
1091 S Beacon Blvd, Grand Haven, MI, 49417-2607
Phone Number
616-604-0096
Fax Number
Provider Enumeration Date
08/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0G1123 01 MI BCBS CNP GROUP
institution
Provider Business Practice Location Address Details
Address
1091 S Beacon Blvd
City
Grand Haven
State
Michigan
Zip
49417-2607
Phone Number
616-604-0096
Fax Number
person
Provider Business Mailing Address Details
Address
1091 S Beacon Blvd
City
Grand Haven
State
Michigan
Zip
49417-2607
Phone Number
616-604-0096
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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