Individual
JOSEPH JOHN VETTUKATTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
100 MICHIGAN ST NE, 10TH FLOOR, MC 248, GRAND RAPIDS, MI 49503
(616) 267-9150
(616) 267-1408
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
4301102118
MI
2080P0202X
Pediatric Cardiology Physician
4301102118
MI
Other
Enumeration date
02/25/2013
Last updated
09/07/2022
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