Source Medical Solutions
Source Medical Solutions is a General Practice Physician in Grand Rapids, Michigan. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
625 Kenmoor Ave SE Ste 301Grand Rapids, MI 49546-2395
Phone: (616) 916-8063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1326649120 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Thomas Henke — Owner/Physician · (616) 916-8063 |
| Other names | Source Medical Clinic |
| NPI enumerated | November 6, 2020 |
| Last updated in NPPES | January 23, 2022 |
| Certification date | January 23, 2022 |
| Mailing address | 625 Kenmoor Ave Se Ste 301, Grand Rapids, MI 49546-2395 |
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