Organization
HEART AND WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA ANNETTE WARREN MSM (ADMIN / OFFICE MGR)
(616) 719-5939
Entity
Organization
Contact information
Practice address
5043 CASCADE RD SE, GRAND RAPIDS, MI 49546-3724
(616) 719-5939
(616) 719-5933
Mailing address
5043 CASCADE RD SE, GRAND RAPIDS, MI 49546-3724
(616) 719-5939
(616) 719-5933
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4301080691
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060D120890
BLUE CROSS BLUE SHIELD
MI
01
—
0P46910
COFINITY / PPOM
—
01
—
1194935387
UNITED HEALTHCARE
—
05
—
5199674
—
MI
01
—
DG1222
RR / RAILROAD MEDICARE
—
Enumeration date
05/23/2007
Last updated
04/12/2011
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