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B Kent Maupin Md Pc
Orthopedic Hand Surgery Physician in Grand Rapids, Michigan
NPI 1386651487

B Kent Maupin Md Pc is a Orthopedic Hand Surgery Physician based in Grand Rapids, MI and is specialized in Hand Surgery. B Kent Maupin Md Pc practices in Grand Rapids, MI. The NPI Number for B Kent Maupin Md Pc is 1386651487 and holds a License No. 4301043303 (Michigan).

The current practice location address for B Kent Maupin Md Pc is 1001 Medical Park Dr Se, Grand Rapids, MI and can be reached out via phone at 616-954-0094 and via fax at 616-954-9871.

Location: 1001 Medical Park Dr Se, Grand Rapids, MI, 49546-3610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386651487
Provider Name
B Kent Maupin Md Pc
Credential
Provider Entity Type
Organization
Address
1001 Medical Park Dr Se, Grand Rapids, MI, 49546-3610
Phone Number
616-954-0094
Fax Number
616-954-9871
Provider Enumeration Date
08/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1194783936 01 MI INDIVIDUAL NPI
2004100952 01 MI BCBSM
3152810 05 MI
institution
Provider Business Practice Location Address Details
Address
1001 Medical Park Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-3610
Phone Number
616-954-0094
Fax Number
616-954-9871
person
Provider Business Mailing Address Details
Address
1001 Medical Park Dr Se
City
Grand Rapids
State
Michigan
Zip
49546-3610
Phone Number
616-954-0094
Fax Number
616-954-9871
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
Hand Surgery
Taxonomy
207XS0106X
License No.
4301043303 (Michigan)
Definition
An orthopedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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