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Organization

WEST MICHIGAN CARDIOLOGY, PC

Active
Parent organization
WEST MICHIGAN CARDIOLOGY, PC
Organization subpart
Yes

Provider details

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

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
163WC3500X
Cardiac Rehabilitation Registered Nurse
Primary
261QR0404X
Cardiac Rehabilitation Clinic/Center

Other

Enumeration date
11/08/2023
Last updated
11/08/2023
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