Great Lakes Psychiatric Services, P.c.
Specialty details in registry · Grand Rapids, MI
At a glance
1179 E Paris Ave Se, Grand Rapids, MI 49546-8371
NPPES record updated Aug 22, 2020. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
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Insurance participation and appointment availability are not established by these public records.
Practice location
1179 E Paris Ave Se Suite 220Grand Rapids, MI 49546-8371
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 261QM0850X
- Enumeration date
- Mar 31, 2007
- Record updated
- Aug 22, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
261QM0850X · Primary
License reported: 5101009000 MI
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
1179 E Paris Ave SeSuite 220
Grand Rapids, MI 49546-8371
- Phone
- (616) 454-2004
- Fax
- (616) 454-0061
Mailing address
1179 E PARIS AVE SESUITE 220
GRAND RAPIDS, MI 495468371
Information may be outdated or incomplete.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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