Individual
JAMES P PASSINAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 LAFAYETTE SE, STE 3000, GRAND RAPIDS, MI 49503
(616) 752-6919
Mailing address
245 STATE STE SE, STE 111, GRAND RAPIDS, MI 49503
(616) 913-1818
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301080248
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
4301080248
MI
Other
Enumeration date
05/18/2006
Last updated
10/15/2013
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