Organization
CHILDREN'S ASSESSMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRISTINA BUENTELLO (OFFICE MANAGER)
(616) 336-5160
Entity
Organization
Contact information
Practice address
901 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-3525
(616) 336-5160
(616) 336-5193
Mailing address
901 MICHIGAN ST NE, GRAND RAPIDS, MI 49503-3525
(616) 336-5160
(616) 336-5193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
MI
Other
Enumeration date
07/07/2006
Last updated
08/22/2020
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