Organization
MACFIELD PEDIATRICS AND FAMILY MEDICINE PC
Active
Other names
Breton Village Pediatrics And Family Medicine PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MASUMA F MACFIELD M.D. (PEDIATRICIAN)
(616) 724-4972
Entity
Organization
Contact information
Practice address
2460 BURTON ST SE, GRAND RAPIDS, MI 49546-4800
(616) 295-5760
Mailing address
4770 BLACKBERRY CT NE, 4770 BLACKBERRY CT NE, GRAND RAPIDS, MI 49525-9495
(616) 724-4972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
8305045032
MI
208000000X
Pediatrics Physician
Primary
4301084408
MI
Other
Enumeration date
08/21/2013
Last updated
05/02/2019
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