# WEST MICHIGAN CARDIOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WEST MICHIGAN CARDIOLOGY, PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1164296380
- **Legal business name:** WEST MICHIGAN CARDIOLOGY, PC
- **Authorized official:** TEJINDER S. MANDER MD (PRACTICE OWNER)
- **Authorized official phone:** (616) 456-9553

## Contact information

- **Practice address:** 3210 EAGLE RUN DR NE, GRAND RAPIDS, MI 49525-7051
- **Practice address phone:** (616) 456-9553
- **Practice address fax:** (616) 454-5371
- **Mailing address:** 3210 EAGLE RUN DR NE, GRAND RAPIDS, MI 49525-7051
- **Mailing address phone:** (616) 456-9553
- **Mailing address fax:** (616) 454-5371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC3500X | Cardiac Rehabilitation Registered Nurse | — | — | Yes |
| 261QR0404X | Cardiac Rehabilitation Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/08/2023
- **Last updated:** 11/08/2023