NPI 1023274446
The Boutique at Mercy Health Lacks Cancer Center
Practice location
- Address
- 200 Jefferson Ave SE, Grand Rapids, MI 49503-4502
- Phone
- (616) 685-5030
Authorised official
- Name
- Matthew Biersack
- Title
- President
- Phone
- (616) 685-6413
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1023274446
- Entity type
- Organization
- NPI issued
- 5 Aug 2008
- Record last updated
- 26 Aug 2022
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.