Organization
WEST MICHIGAN HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULINE KRYWANSKI (VP FINANCE)
(616) 486-6790
Entity
Organization
Contact information
Practice address
1 N ATKINSON DR, LUDINGTON, MI 49431-1906
(616) 885-5000
Mailing address
100 MICHIGAN ST NE, MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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