Organization
PENNANT PHYSICIAN SERVICES
Active
Organization
PENNANT PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANK E BELSITO DO (CMO)
(616) 252-5211
Entity
Organization
Contact information
Practice address
555 MIDTOWNE ST NE, SUITE 310, GRAND RAPIDS, MI 49503-5729
(616) 252-4765
Mailing address
2122 HEALTH DR SW, SUITE 230, WYOMING, MI 49519-9698
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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