EASTERN CLINIC PLLC

NPI # 

Practice Address:

1555 Eastern Ave Se

Grand Rapids, MI, 49507-2055

Practice Phone:

616-243-6262

Practice Fax:

616-243-6969

License Number:

SA0410165

License State:

MI

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Methadone

Taxonomy Code:

261QM2800X

Updated by NPPES on 12/9/2015. You can view the original data set for NPI # 1942675426 on the official NPPES website. If the information about this NPI provider/company is outdated you can request updates through the NPPES website. See our FAQ page for more information.

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EASTERN CLINIC PLLC's

CMS CPT® coding data

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EASTERN CLINIC PLLC's

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