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Organization

WEST MICHIGAN HEART

Active
Parent organization
WEST MICHIGAN HEART
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST MICHIGAN HEART
Authorized official
PAULINE KRYWANSKI (SVP FINANCE)
(616) 486-2253
Entity
Organization

Contact information

Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2614
(616) 754-3880
Mailing address
PO BOX 1687, GRAND RAPIDS, MI 49501-1687

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
207RC0001X
Clinical Cardiac Electrophysiology Physician
207RI0011X
Interventional Cardiology Physician

Other

Enumeration date
05/27/2013
Last updated
05/27/2013
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