Internal Medicine and Pediatrics of West Michigan
NPI #1104170661 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1104170661
- Entity Type
- Organization
- Organization Name
- Internal Medicine and Pediatrics of West Michigan
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Nov 6, 2012
- Last Updated
- Apr 15, 2024
Practice Location
- Address
- 655 KENMOOR AVE SE
- Address 2
- SUITE 200
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49546
- Phone
- (616) 363-7690
Authorized Official
- Name
- DEANNA RAWLINGS
- Title
- OFFICE MANAGER
- Phone
- (616) 323-3227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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