NPI 1003099904

Gastroenterology Specialist PC

Organisation Gastroenterology Physician Grand Rapids, MI

Practice location

Address: 1179 E Paris Ave SE STE 200, Grand Rapids, MI 49546-3682
Phone: (616) 975-9100
Fax: (616) 975-1161

Authorised official

Name: Diane J Atkinson
Title: Manager
Phone: (616) 975-9100

Registered specialties

Gastroenterology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RG0100X

Other Internal Medicine providers in Michigan →

Registry record

NPI: 1003099904
Entity type: Organization
NPI issued: 13 Dec 2007
Record last updated: 13 Dec 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.