Organization
MICHIGAN PEDIATRIC HOSPITALIST, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VANDENBOSCH (ADMINISTRATOR)
(616) 393-0166
Entity
Organization
Contact information
Practice address
602 MICHIGAN AVE, BOVEN BIRTH CENTER, HOLLAND, MI 49423
(616) 393-0166
(616) 393-8821
Mailing address
926 WASHINGTON AVE, BUILDING C, HOLLAND, MI 49423-7725
(616) 393-0166
(616) 393-8821
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
Other
Enumeration date
07/30/2007
Last updated
07/08/2015
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