Qmc Ed Physicians

NPI Provider: 1265421424
Contact Name: DiVaio-Bush Victoria
Position: Director Physician Services
Phone: (617) 376-4018

Qmc Ed Physicians Information:

Qmc Ed Physicians organization have npi 1265421424, taxonomy code is 207P00000X with license number is 56804 in . This Business address located in 2600 Horizon Dr SE, Grand Rapids, MI 49546 Michigan.

Practice Location
Address: 114 Whitwell St, Quincy, MA 21691
Phone: (617) 376-5549

Business Location
Address: 2600 Horizon Dr SE, Grand Rapids, MI 49546

Taxonomy

Taxonomy Code: 207P00000X

License Number: 56804

License Number of State:

Primary Taxonomy Switch: Y

Enumeration Date: 10/19/2005

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