Individual
HEATHER ROMERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
730 GRANDVILLE AVE SW, GRAND RAPIDS, MI 49503-4920
(616) 685-8400
(616) 742-1322
Mailing address
245 STATE ST SE, GRAND RAPIDS, MI 49503-4328
(616) 685-1808
(616) 685-1850
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301086463
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4809563
—
MI
05
—
4878140
—
MI
05
—
4891722
—
MI
Enumeration date
05/25/2006
Last updated
08/24/2012
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