Western Michigan Pediatric Cardiology Assoc
NPI #1831293190 in Grand Rapids, Michigan
Provider Information
- NPI Number
- 1831293190
- Entity Type
- Organization
- Organization Name
- Western Michigan Pediatric Cardiology Assoc
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Enumeration Date
- Sep 8, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 330 BARCLAY NE
- Address 2
- #201
- City
- Grand Rapids
- State
- Michigan
- ZIP Code
- 49503
- Phone
- (616) 459-8247
Authorized Official
- Name
- MRS. CYNDI L MANSFIELD
- Title
- OFFICE SUPERVISOR
- Phone
- (616) 459-8247
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
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