Individual
MARIBEL BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5341
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
5101013998
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4318411
—
MI
Enumeration date
08/02/2006
Last updated
04/01/2015
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