Organization
WEST MICHIGAN HEART
Active
Parent organization
WEST MICHIGAN HEART
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST MICHIGAN HEART
Authorized official
PATRICK REPINS (DIRECTOR OF FINANCE)
(616) 885-5493
Entity
Organization
Contact information
Practice address
330 BARCLAY AVE NE, SUITE 200, GRAND RAPIDS, MI 49503-2556
(616) 486-6793
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
(616) 486-6790
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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