institution
Grand Valley Surgical Center, Llc
Multi-Specialty Clinic/Center in Grand Rapids, Michigan
NPI 1417950395

Grand Valley Surgical Center, Llc is a Multi-Specialty Clinic/Center based in Grand Rapids, MI and is specialized in Multi-Specialty. Grand Valley Surgical Center, Llc practices in Grand Rapids, MI. The NPI Number for Grand Valley Surgical Center, Llc is 1417950395 and holds a License No. 416829 (Michigan).

The current practice location address for Grand Valley Surgical Center, Llc is 2680 Leonard St Ne, Grand Rapids, MI and can be reached out via phone at 616-224-1110.

Location: 2680 Leonard St Ne, Grand Rapids, MI, 49525-6902
institution
Provider Profile Details
NPI Number
1417950395
Provider Name
Grand Valley Surgical Center, Llc
Credential
Provider Entity Type
Organization
Address
2680 Leonard St Ne, Grand Rapids, MI, 49525-6902
Phone Number
616-224-1110
Fax Number
Provider Enumeration Date
05/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OD17003 01 MI BCBS SECONDARY
490004173 01 MI MEDICARE RAILROAD
40362 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
2680 Leonard St Ne
City
State
Zip
49525-6902
Phone Number
616-224-1110
Fax Number
person
Provider Business Mailing Address Details
Address
2680 Leonard St Ne
City
State
Zip
49525-6902
Phone Number
616-224-1110
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
416829 (Michigan)
Definition
Definition to come...
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