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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC

Active Organization

GRAND RAPIDS ADDICTION MEDICINE SPECIALISTS PC is a Internal Medicine organization located in GRAND RAPIDS, Michigan. NPI 1780642355 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · GRAND RAPIDS, MI

Registration Details

NPI Number
1780642355
Provider Type
Organization
NPI Issued
May 3, 2006 (20.136849889617 yrs)
Last Updated
Jul 31, 2007
License
4301047295 (MI)

Practice Information

Address
4100 LAKE DR SE
SUITE 305
GRAND RAPIDS, MI, 495468292
Browse MI providers · Browse ZIP 49546
Phone
6169540600
Fax
6169541675
Primary Specialty
Internal Medicine
207R00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.