institution
Source Medical Solutions
General Practice Physician in Grand Rapids, Michigan
NPI 1326649120

Source Medical Solutions is a General Practice Physician based in Grand Rapids, MI. Source Medical Solutions practices in Grand Rapids, MI. The NPI Number for Source Medical Solutions is 1326649120 and holds a License No. (Michigan).

The current practice location address for Source Medical Solutions is 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI and can be reached out via phone at 616-916-8063.

Location: 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI, 49546-2395
institution
Provider Profile Details
NPI Number
1326649120
Provider Name
Source Medical Solutions
Credential
Provider Entity Type
Organization
Address
625 Kenmoor Ave Se Ste 301, Grand Rapids, MI, 49546-2395
Phone Number
616-916-8063
Fax Number
Provider Enumeration Date
11/06/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
625 Kenmoor Ave Se Ste 301
City
State
Zip
49546-2395
Phone Number
616-916-8063
Fax Number
person
Provider Business Mailing Address Details
Address
625 Kenmoor Ave Se Ste 301
City
State
Zip
49546-2395
Phone Number
616-916-8063
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
()
Definition
Definition to come...
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