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General NPI Number Information
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NPI Number | 1487622296
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Entity Type | Organization
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Legal Business Name | INFUSION ASSOCIATES PLLC
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Dates
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Enumeration Date | 03/08/2006
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 3230 EAGLE PARK DR NE SUITE 101
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City | GRAND RAPIDS
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State | MI
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Zip | 49525-7007
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Country | US
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Telephone | 616-954-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 1726 COLE BLVD STE 250
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City | LAKEWOOD
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State | CO
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Zip | 80401-3262
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Country | US
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Telephone | 855-478-1528
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MICHAEL MAWBY
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Credential | M.D.
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Telephone | 616-954-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QI0500X
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Taxonomy Name | Infusion Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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