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
PAULINE M KRYWANSKI (SVP)
(616) 486-2253
Entity
Organization
Contact information
Practice address
602 MICHIGAN AVE, SUITE 102, HOLLAND, MI 49423-4918
(616) 392-3824
(616) 494-5950
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
02/12/2014
Last updated
02/12/2014
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