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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