Organization
CASCADE PEDIATRICS LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BROWN MD (PARTNER)
(616) 940-3168
Entity
Organization
Contact information
Practice address
5150 CASCADE RD SE, SUITE B, GRAND RAPIDS, MI 49546-3794
(616) 940-3168
(616) 940-3352
Mailing address
5150 CASCADE RD SE, SUITE B, GRAND RAPIDS, MI 49546-3794
(616) 940-3168
(616) 940-3352
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350D16208
BCBS MICHIGAN
MI
Enumeration date
08/22/2006
Last updated
02/04/2016
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