Organization
GRANDVILLE PEDIATRICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY STEPHEN MANDIA M.D. (OWNER)
(616) 538-2410
Entity
Organization
Contact information
Practice address
2845 44TH ST SW SUITE 200, GRANDVILLE, MI 49418-1200
(616) 538-2410
(616) 538-1557
Mailing address
2845 44TH ST SW SUITE 200, GRANDVILLE, MI 49418-1200
(616) 538-2410
(616) 538-1557
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
02/14/2006
Last updated
07/07/2015
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