Organization Name: | HOLLAND MEDICAL CARE & REHABILITATION PC |
NPI Number: | 1609079508 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOEL WETZEL (ADMINISTRATOR) |
Mailing Address: | 335 North 120th Ave Holland |
State: | MI US |
Postal Code: | 494232118 |
Phone Number: | 6163925222 |
Fax Number: | 6163923653 |
NPI Enumeration Date: | 06/07/2007 |
NPI Last Update Date: | 10/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |