Individual
ARIDA SIRIPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4100 LAKE DR SE, SUITE 205, GRAND RAPIDS, MI 49546-8292
(616) 267-7100
(616) 267-7102
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
4301092889
MI
208C00000X
Colon & Rectal Surgery Physician
Primary
4301092889
MI
390200000X
Student in an Organized Health Care Education/Training Program
206141
LA
Other
Enumeration date
07/07/2008
Last updated
02/22/2021
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