Michigan Born And Raised Llc
Specialty details in registry · Grandville, MI
At a glance
2932 Chicago Dr Sw, Grandville, MI 49418-1176
NPPES record updated Oct 12, 2017. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
2932 Chicago Dr SwGrandville, MI 49418-1176
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 176B00000X
- Enumeration date
- Oct 12, 2017
- Record updated
- Oct 12, 2017
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
174H00000X
Specialty details in registry
174N00000X
Specialty details in registry
176B00000X · Primary
Specialty details in registry
363LW0102X
Specialty details in registry
374J00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
2932 Chicago Dr SwGrandville, MI 49418-1176
- Phone
- (231) 557-7118
Mailing address
19702 MAPLE AVECONKLIN, MI 494039562
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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