Susan H Wakefield MD

NPI 1013909787 - Pediatrics - 208000000X

NPI Details
NPI 1013909787
Gender Female
Enumeration Date 08/18/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
877 FOREST HILL AVE SE
GRAND RAPIDS MI, 49546-2325, US
Phone (616) 949-4465
Fax (616) 949-6191
Business Location
877 FOREST HILL AVE SE
GRAND RAPIDS MI, 49546-2325, US
Phone (616) 949-4465
Fax (616) 949-6191
Toxanomy
Taxonomy Code 208000000X
License State Michigan
License Number 4301044861
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According to our database, Dr. Susan H Wakefield MD NPI is 1013909787, taxonomy code is 208000000X and license number is 4301044861, license state is located at Michigan. Susan H Wakefield MD physically located at 877 Forest Hill Ave Se, Grand Rapids MI, 49546-2325. NPI Number Susan H Wakefield MD has the Individual type.

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1013909787 NPI number is provided on an as is basis without warranty of any kind. 1013909787 is maintained by the National Plan & Provider Enumeration System. The contents of Susan H Wakefield MD are for informational purposes only.