MED1

NPI # 

Practice Address:

1140 Monroe Ave Nw , Suite 150

Grand Rapids, MI, 49503-1055

Practice Phone:

616-459-6331

License Number:

5501011266

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Physical Therapy

Taxonomy Code:

261QP2000X