Pediatric Surgeons of West Michigan PC
NPI #1477516110 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1477516110
- Entity Type
- Organization
- Organization Name
- Pediatric Surgeons of West Michigan PC
- Primary Specialty
- Surgery
- Enumeration Date
- Apr 11, 2006
- Last Updated
- Mar 8, 2017
Practice Location
- Address
- 330 BARCLAY NE
- Address 2
- SUITE 202
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503
- Phone
- (616) 458-1722
Authorized Official
- Name
- MRS. JENNIFER L JAMULA
- Title
- PRACTICE MANAGER
- Phone
- (616) 458-1722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery |
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