Provider Demographics
NPI:1023019890
Name:SYRING, VAL DENNIS (DO)
Entity Type:Individual
Prefix:DR
First Name:VAL
Middle Name:DENNIS
Last Name:SYRING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7443 KENROB DR SE
Mailing Address - Street 2:
Mailing Address - City:GRAND RAPIDS
Mailing Address - State:MI
Mailing Address - Zip Code:49546-9121
Mailing Address - Country:US
Mailing Address - Phone:616-957-0456
Mailing Address - Fax:616-243-4296
Practice Address - Street 1:1945 BOSTON ST SE
Practice Address - Street 2:G1
Practice Address - City:GRAND RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:49506-4100
Practice Address - Country:US
Practice Address - Phone:616-243-9898
Practice Address - Fax:616-243-4296
Is Sole Proprietor?:No
Enumeration Date:2005-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIVS006819204C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2113916Medicaid
MI5410006Medicare ID - Type Unspecified
MIB47734Medicare UPIN