OrganizationActive
Michigan Medical Patient Care
NPI 1376707158 · Surgical Oncology Physician · Grand Rapids, MI
Provider details
- NPI number
- 1376707158
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Michigan Medical Patient Care
- Organization subpart
- Yes
- Authorized official
- Scott Harring, Cfo(616) 974-4889
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Colon & Rectal Surgery Physician208C00000X
Allopathic & Osteopathic Physicians
- Urology Physician208800000X
Allopathic & Osteopathic Physicians
Practice location
145 Michigan Ave Ne
Grand Rapids, MI 49503
Phone: (616) 974-4889
Approximate (ZIP-level) locationGet directions
Mailing address
4085 Burton St Se
Grand Rapids, MI 49546-2444
Registry dates
- Enumerated
- 2008-07-11
- Last updated
- 2010-03-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.