Individual
SHEILA KRISHNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
4100 LAKE DR SE STE 200, GRAND RAPIDS, MI 49546-8292
(616) 267-8244
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
5101025506
MI
207RP1001X
Pulmonary Disease Physician
Primary
5101025506
MI
Other
Enumeration date
06/08/2011
Last updated
05/20/2024
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