Healthcare Provider Details

I. General information

NPI: 1609562800
Provider Name (Legal Business Name): SALUBRIOUS HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/12/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 DOUGLAS AVE STE 110
HOLLAND MI
49424-2183
US

IV. Provider business mailing address

16200 SHOREVIEW DR
SPRING LAKE MI
49456-1470
US

V. Phone/Fax

Practice location:
  • Phone: 616-298-8124
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ROBERT HUBERS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 616-298-8124