DR. Ediana Restivo, MD

NPI #1033747191 in Grand Rapids, Michigan

Provider Information

NPI Number: 1033747191
Entity Type: Individual
Name: DR. Ediana Restivo, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Surgery
Credential: MD
Enumeration Date: Apr 1, 2020
Last Updated: Jun 15, 2023

Practice Location

Address: 100 MICHIGAN ST NE STE A501
City: Grand Rapids
State: Michigan
ZIP Code: 49503-2560
Phone: (616) 391-6243

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Surgery	208600000X	Primary

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