Individual
JAMES CALVIN NIEWENHUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1309 SHELDON RD, GRAND HAVEN, MI 49417-2404
(616) 847-5257
(419) 866-5453
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
4301055088
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220A360180
BCBSM
MI
01
—
220A360250
BCBSM
MI
01
—
220B376060
BCBSM
MI
05
—
4197568
—
MI
Enumeration date
07/15/2006
Last updated
06/16/2014
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