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Maria E Dimusto-poortenga, MD
Neonatal-Perinatal Medicine Physician in Grand Rapids, Michigan
NPI 1013940980

Maria E Dimusto-poortenga is a Neonatal-Perinatal Medicine Physician based in Grand Rapids, MI and is specialized in Neonatal-Perinatal Medicine. Maria E Dimusto-poortenga practices in Grand Rapids, MI and has the professional credentials of MD. The NPI Number for Maria E Dimusto-poortenga is 1013940980 and holds a License No. 4301068818 (Michigan).

The current practice location address for Maria E Dimusto-poortenga is 200 Jefferson Ave Se, Grand Rapids, MI and can be reached out via phone at 616-752-6554.

Location: 200 Jefferson Ave Se, Grand Rapids, MI, 49503-4328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013940980
Provider Name
Maria E Dimusto-poortenga
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
200 Jefferson Ave Se, Grand Rapids, MI, 49503-4328
Phone Number
616-752-6554
Fax Number
Provider Enumeration Date
07/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0031359 05 OH
4120849 05 MI
4877886 05 MI
institution
Provider Business Practice Location Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-752-6554
Fax Number
person
Provider Business Mailing Address Details
Address
200 Jefferson Ave Se
City
Grand Rapids
State
Michigan
Zip
49503-4502
Phone Number
616-752-6554
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
35C001071 (Ohio)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neonatal-Perinatal Medicine
Taxonomy
2080N0001X
License No.
4301068818 (Michigan)
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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