Individual
DR. DOMINIQUE MARIE PATTHANACHARDENPHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARM.D.
Contact information
Practice address
665 SEWARD AVE NW STE 320, GRAND RAPIDS, MI 49504-5190
(616) 267-7029
Mailing address
665 SEWARD AVE NW # SUITE 320, GRAND RAPIDS, MI 49504-5190
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-289748
IL
Other
Enumeration date
03/20/2007
Last updated
06/14/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us