Individual
NATALIE ANNA PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8810
(616) 391-8897
Mailing address
330 BARCLAY AVE NE STE 300, GRAND RAPIDS, MI 49503-2527
(616) 391-8810
(616) 391-8897
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4351048167
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780264440
—
MI
Enumeration date
04/08/2021
Last updated
06/08/2022
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