Individual
DR. ANTJE SOUTHWICK DEW
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3152 PORT SHELDON ST, SUITE C, HUDSONVILLE, MI 49426-9297
(616) 669-9238
(616) 669-8296
Mailing address
1900 TIMBER RIDGE DR SE, ADA, MI 49301-9359
(616) 682-2045
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301078492
MI
Other
Enumeration date
03/15/2006
Last updated
07/08/2007
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