Cherry Street Services, INC
NPI #1780742015 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1780742015
- Entity Type
- Organization
- Organization Name
- Cherry Street Services, INC
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 6, 2006
- Last Updated
- Oct 19, 2012
Practice Location
- Address
- 100 CHERRY ST SE
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503-4526
- Phone
- (616) 965-8200
Authorized Official
- Name
- CHRIS SHEA
- Title
- CEO
- Phone
- (616) 776-2120
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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