Maria E Dimusto-Poortenga, MD

NPI #1013940980 in Grand Rapids, Michigan

Provider Information

NPI Number: 1013940980
Entity Type: Individual
Name: Maria E Dimusto-Poortenga, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Jul 7, 2006
Last Updated: Dec 5, 2023

Practice Location

Address: 200 JEFFERSON AVE SE
Address 2: NICU
City: Grand Rapids
State: Michigan
ZIP Code: 49503-4502
Phone: (616) 752-6554

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary
Pediatrics - Neonatal-Perinatal Medicine — Neonatal-Perinatal Medicine	2080N0001X

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