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Organization
INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN
Active
Organization
INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA RAWLINGS (OFFICE MANAGER)
(616) 323-3227
Entity
Organization
Contact information
Practice address
655 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(616) 363-7690
(616) 942-8917
Mailing address
655 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
(616) 363-7690
(616) 942-8917
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301071009
MI
Other
Enumeration date
11/06/2012
Last updated
04/15/2024
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