# INTERNAL MEDICINE AND PEDIATRICS OF WEST MICHIGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104170661
- **Authorized official:** DEANNA RAWLINGS (OFFICE MANAGER)
- **Authorized official phone:** (616) 323-3227

## Contact information

- **Practice address:** 655 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
- **Practice address phone:** (616) 363-7690
- **Practice address fax:** (616) 942-8917
- **Mailing address:** 655 KENMOOR AVE SE, SUITE 200, GRAND RAPIDS, MI 49546
- **Mailing address phone:** (616) 363-7690
- **Mailing address fax:** (616) 942-8917

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 4301071009 | MI | Yes |

## Other

- **Enumeration date:** 11/06/2012
- **Last updated:** 04/15/2024