HOLLAND ALLERGY CLINIC PC
Allergy and Immunology
Holland, Michigan
Provider NPI: 1255360418
Organization Information:Organization Name: HOLLAND ALLERGY CLINIC PC
Practice Location:
844 S WASHINGTON SUITE 500 BLDG 1 SUITE 500 HOLLAND, MI 49423 US
Tel: 616-392-2516 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
844 S WASHINGTON SUITE 500 BLDG 1 SUITE 500 HOLLAND, MI 49423 US
Tel: 616-392-2516 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 207K00000X | Physicians Allergy & Immunology | MI | 4301056696 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
BCBS ID | 0030255 | MI | 01 |
BCN ID | 0030255 | MI | 01 |
FED BCBS | 1255360418 | MI | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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