Pennant Physician Services

NPI 1245572007 - Pediatrics - 2080P0202X

NPI Details
NPI 1245572007
Enumeration Date 03/20/2013
Last Updated 03/20/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name FRANK E FRANK
Position CMO
Phone (616) 252-4765
Fax
Practice Location
555 MIDTOWNE ST NE
SUITE 310
GRAND RAPIDS MI, 49503-5729, US
Phone (616) 252-4765
Fax
Business Location
2122 HEALTH DR SW
SUITE 230
WYOMING MI, 49519-9698, US
Phone
Fax
Toxanomy
Taxonomy Code 2080P0202X
License State
License Number
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According to our database, Pennant Physician Services NPI is 1245572007, taxonomy code is 2080P0202X Pennant Physician Services physically located at 555 Midtowne St Ne, Grand Rapids MI, 49503-5729. NPI Number 1033115704 has the healthcare provider type.

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1245572007 NPI number is provided on an as is basis without warranty of any kind. 1245572007 is maintained by the National Plan & Provider Enumeration System. The contents of Pennant Physician Services are for informational purposes only.