Individual
MONICA L RANDLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Mailing address
1748 ALEXANDER ST SE, GRAND RAPIDS, MI 49506-3304
(616) 459-4314
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301073430
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4233056
—
MI
Enumeration date
08/31/2006
Last updated
05/08/2013
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