Organization
WEST MICHIGAN HEART
Active
Parent organization
WEST MICHIGAN HEART
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST MICHIGAN HEART
Authorized official
PAT REPINS (DIR, FINANCE)
(616) 885-5091
Entity
Organization
Contact information
Practice address
4540 KALAMAZOO AVE SE, GRAND RAPIDS, MI 49508-4625
(616) 281-0666
Mailing address
100 MICHIGAN ST NE, MC 845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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