Organization
BROOKVILLE PEDIATRIC & INTERNAL MEDICINE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL A. KEIZER (ADMINISTRATIVE MANAG)
(616) 514-3805
Entity
Organization
Contact information
Practice address
1200 56TH ST SW, WYOMING, MI 49509
(616) 243-5707
(616) 243-1170
Mailing address
8485 ALGOMA AVE, ROCKFORD, MI 49341
(616) 243-5707
(616) 243-1170
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MI
208000000X
Pediatrics Physician
Primary
—
MI
Other
Enumeration date
03/27/2006
Last updated
04/07/2014
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