Whalio Doctors

NPI 1194755306

Center for Breast & Body Contouring PC

Organisation Specialist Grand Rapids, MI

Practice location

Address
4070 Lake Dr SE Suite 202, Grand Rapids, MI 49546-8294
Phone
(616) 464-4420
Fax
(616) 464-4354
Mailing address
4070 Lake Dr SE Suite 202, Grand Rapids, MI 49546

Authorised official

Name
Dennis C Hammond
Title
Owner President
Phone
(616) 464-4420

Registered specialties

Specialist Primary
Other Service Providers Taxonomy 174400000X Licence 4301406022 (MI)

Registry record

NPI
1194755306
Entity type
Organization
NPI issued
4 Jul 2006
Record last updated
20 Mar 2008

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.