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West Michigan Addiction Consultants, Pc
Addiction Medicine (Internal Medicine) Physician in Grand Rapids, Michigan
NPI 1588821433

West Michigan Addiction Consultants, Pc is an Addiction Medicine (Internal Medicine) Physician based in Grand Rapids, MI and is specialized in Addiction Medicine. West Michigan Addiction Consultants, Pc practices in Grand Rapids, MI. The NPI Number for West Michigan Addiction Consultants, Pc is 1588821433 and holds a License No. 100005 (Michigan).

The current practice location address for West Michigan Addiction Consultants, Pc is 3001 Fuller Ave Ne, Grand Rapids, MI and can be reached out via phone at 616-365-8800 and via fax at 616-365-7979.

Location: 3001 Fuller Ave Ne, Grand Rapids, MI, 49505-3247
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588821433
Provider Name
West Michigan Addiction Consultants, Pc
Credential
Provider Entity Type
Organization
Address
3001 Fuller Ave Ne, Grand Rapids, MI, 49505-3247
Phone Number
616-365-8800
Fax Number
616-365-7979
Provider Enumeration Date
05/19/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0504118411 01 MI BCBS
institution
Provider Business Practice Location Address Details
Address
3001 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-3247
Phone Number
616-365-8800
Fax Number
616-365-7979
person
Provider Business Mailing Address Details
Address
3001 Fuller Ave Ne
City
Grand Rapids
State
Michigan
Zip
49505-3247
Phone Number
616-365-8800
Fax Number
616-365-7979
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Addiction Medicine
Taxonomy
207RA0401X
License No.
100005 (Michigan)
Definition
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine.
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