Organization
ANDOLA C MATHIS MD PC
Active
Other names
RALPH MATHIS MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
ANDOLA CHAMBERLAIN MATHIS M.D. (OWNER/PRESIDENT)
(616) 451-2993
Entity
Organization
Contact information
Practice address
21 MICHIGAN ST NE, SUITE 660, GRAND RAPIDS, MI 49503-2528
(616) 451-2993
(616) 451-4393
Mailing address
21 MICHIGAN ST NE, SUITE 660, GRAND RAPIDS, MI 49503-2528
(616) 451-2993
(616) 451-4393
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
08/01/2006
Last updated
08/10/2007
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