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Organization

CHERRY STREET SERVICES, INC

Active
Other names
Grand Rapids Pediatric
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS SHEA (CEO)
(616) 776-2120
Entity
Organization

Contact information

Practice address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366
Mailing address
100 CHERRY ST SE, GRAND RAPIDS, MI 49503-4526
(616) 965-8200
(616) 940-5366

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
4301036769
MI

Other

Enumeration date
12/06/2006
Last updated
10/19/2012
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