Individual
MICHAEL PALMISANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 MICHIGAN ST NE, GRAND RAPIDS, MI 49503
(616) 364-4200
(616) 364-7347
Mailing address
3333 EVERGREEN DR NE STE 100, GRAND RAPIDS, MI 49525-9493
(616) 364-4200
(616) 364-7347
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
036.135990
IL
207L00000X
Anesthesiology Physician
Primary
4301119141
MI
Other
Enumeration date
06/20/2011
Last updated
07/31/2019
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