Individual
VANESSA CARDENAS KIMBALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
35 MICHIGAN ST NE STE 4150, GRAND RAPIDS, MI 49503-2529
(616) 267-2100
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301100270
MI
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301100270
MI
Other
Enumeration date
05/30/2012
Last updated
11/06/2023
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