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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
8333 FELCH ST, ZEELAND, MI 49464-2608
(616) 464-8724
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
05/09/2013
Last updated
05/09/2013
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