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Kirk Agerson MD PC

Clinic/Center, Primary Care in Grand Rapids, MI. Organization (NPI-2).

NPI number1275001034
StatusActive
Last updated in NPPESNov 8, 2018

Details

NPI
1275001034
Entity type
Organization (NPI-2)
Legal business name
Kirk Agerson MD PC
Organization subpart
No
Enumeration date
Nov 8, 2018
Last updated
Nov 8, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

2849 Michigan St Ne
Grand Rapids, MI 49506-1216

Phone 616-285-6450 · Fax 616-285-6455

Mailing address

2849 Michigan St Ne
Grand Rapids, MI 49506-1216

Phone 616-285-6450 · Fax 616-285-6455

Authorized official

Kirk Joseph Agerson
President
6165400876

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