Individual
DEBORAH L CLONEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
35 MICHIGAN NE, SUITE 4150, GRAND RAPIDS, MI 49503
(616) 267-2100
(616) 267-2101
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
4301058659
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104127582
BCBSM
MI
01
—
1558407189
GROUP NPI
MI
05
—
2769763
—
MI
Enumeration date
01/24/2006
Last updated
02/23/2021
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