Internal Medicine And Pediatrics Of West Michigan, Llc

NPI 1104170661 - Internal Medicine - 207R00000X

NPI Details
NPI 1104170661
Enumeration Date 11/06/2012
Last Updated 11/04/2013
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MICHAEL J MICHAEL
Position OWNER, PHYSICIAN
Phone (616) 363-7690
Fax (616) 363-7680
Practice Location
1959 E PARIS AVE SE
GRAND RAPIDS MI, 49546-6272, US
Phone (616) 363-7690
Fax (616) 363-7680
Business Location
1959 E PARIS AVE SE
GRAND RAPIDS MI, 49546-6272, US
Phone (616) 363-7690
Fax (616) 363-7680
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 4301071009
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According to our database, Internal Medicine And Pediatrics Of West Michigan, Llc NPI is 1104170661, taxonomy code is 207R00000X and license number is 4301071009, license state is located at Michigan. Internal Medicine And Pediatrics Of West Michigan, Llc physically located at 1959 E Paris Ave Se, Grand Rapids MI, 49546-6272. NPI Number 1033115704 has the healthcare provider type.

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1104170661 NPI number is provided on an as is basis without warranty of any kind. 1104170661 is maintained by the National Plan & Provider Enumeration System. The contents of Internal Medicine And Pediatrics Of West Michigan, Llc are for informational purposes only.