Individual
DR. ARMITA GHODDOUSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2093 HEALTH DR SW, WYOMING, MI 49519-9691
(616) 252-5775
(616) 252-5785
Mailing address
5900 BYRON CENTER AVE SW, MEDICAL ADMINISTRATION, WYOMING, MI 49519-9606
(616) 252-3243
(616) 252-0260
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5315045792
MI
207RG0100X
Gastroenterology Physician
Primary
5315045792
MI
Other
Enumeration date
08/17/2010
Last updated
12/01/2017
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